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Tennessee 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
$312.08 / $312.08 / $328.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.81 / $313.32 / $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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $80.00 / $80.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $24.46 / $232.34