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Washington 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
$250.56 / $250.56 / $250.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.15 / $254.02 / $379.76
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.32 / $80.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.89 / $300.39 / $567.92
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $46.93 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.32 / $43.32 / $43.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $387.26 / $852.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.89 / $43.89 / $53.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $26.59 / $44.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $300.39 / $300.39