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Alaska rates for HCPCS K0738

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.56 / $554.84 / $554.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.39 / $318.39 / $318.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $270.64 / $327.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.51 / $290.24 / $455.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $49.05 / $49.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $65.56 / $516.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.51 / $290.24 / $455.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $270.64 / $318.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $27.99 / $66.89