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Kentucky 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
$580.66 / $858.36 / $858.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $726.41 / $896.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.26 / $476.08 / $560.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.13 / $141.47 / $285.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $121.96 / $175.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $1,045.06 / $1,045.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $190.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $89.32 / $719.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $80.83 / $170.35