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Maine 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
$15.28 / $296.10 / $323.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $397.60 / $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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $289.13 / $323.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $26.59 / $82.08