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Pennsylvania 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
$265.14 / $278.39 / $278.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.19 / $265.14 / $345.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.47 / $46.47 / $46.47
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.39 / $278.39 / $278.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $265.13 / $345.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $318.39 / $318.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $270.64 / $318.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.40 / $470.40 / $470.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.60 / $470.40 / $479.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $26.98 / $69.70