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Massachusetts 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
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $407.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.70 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $316.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $234.42
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $39.81 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.92 / $104.71