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New York 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 / $349.75 / $349.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $285.89 / $486.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.22 / $300.39 / $434.70
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.23 / $47.23 / $613.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.23 / $47.23 / $613.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $318.39 / $318.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $270.64 / $318.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $44.77 / $44.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $318.39 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $270.64 / $318.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $28.14 / $61.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $42.13 / $57.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $44.77