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Wisconsin rates for HCPCS K0738

Portable Gaseous Oxygen System Rental; Home Compressor Used To Fill Portable Oxygen Cylinders Includes Portable Containers Regulator Flowmeterhumidifier Cannula Or Mask And Tubing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.32 / $313.32 / $313.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.13 / $283.97 / $358.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.60 / $450.60 / $820.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $419.06 / $513.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $58.58 / $96.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $55.22 / $74.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.39 / $1,464.32 / $2,001.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $327.95 / $698.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.02 / $210.13 / $455.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.30 / $41.30 / $105.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.76 / $87.82 / $370.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $30.98 / $66.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.79 / $210.13 / $455.90
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.30 / $41.30 / $105.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.31 / $104.12 / $142.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $318.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $318.39 / $318.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $30.90 / $63.35