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Indiana rates for HCPCS E0424

Stationary Compressed Gaseous Oxygen System Rental; Includes Container Contents Regulator Flowmeter Humidifier Nebulizer Cannula Or Mask And Tubing (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.47 / $816.47 / $816.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $816.47 / $1,004.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.10 / $560.10 / $1,080.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.08 / $560.10 / $772.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.93 / $125.71 / $154.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $111.21 / $130.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.06 / $1,045.06 / $1,045.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $190.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $72.88 / $199.28