go back

Connecticut 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
Facility
Modifier
Low / Median / High Price
$396.80 / $396.80 / $396.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.95 / $345.28 / $396.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $300.39 / $397.60
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 / $318.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.16 / $24.67 / $41.12