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Utah 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
$240.63 / $261.25 / $388.44
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 / $327.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $53.74 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.16 / $23.17 / $51.63