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Rhode Island 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
$15.74 / $283.97 / $396.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.72 / $75.63 / $87.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.90 / $38.72 / $38.72
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $26.59 / $44.96