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Virginia 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
$262.73 / $262.73 / $262.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $262.73 / $358.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $300.39 / $369.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.72 / $1,449.72 / $1,449.72
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.79 / $201.94 / $348.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.11 / $69.00 / $542.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.72 / $51.63 / $557.60
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $51.63 / $557.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $26.98 / $51.63