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Washington, DC 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
$896.80 / $896.80 / $896.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.44 / $896.80 / $896.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.68 / $3,055.68 / $3,055.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $4,321.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.98 / $82.06 / $631.57