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New Jersey 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
$261.25 / $261.25 / $261.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.81 / $267.58 / $379.76
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
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $323.52 / $323.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $28.13 / $45.21