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Illinois rates for HCPCS K0738

Portable Gaseous Oxygen System Rental; Home Compressor Used To Fill Portable Oxygen Cylinders Includes Portable Containers Regulator Flowmeterhumidifier Cannula Or Mask And Tubing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.56 / $268.56 / $268.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.15 / $268.56 / $388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.29 / $33.79 / $33.79
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 / $487.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.63 / $100.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $50.95 / $129.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.02 / $28.06 / $54.34