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Connecticut rates for HCPCS E0424

Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.21 / $953.21 / $953.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $931.03 / $1,019.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.10 / $560.10 / $1,021.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $24.99
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.08 / $158.08 / $158.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $62.53 / $199.28