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Louisiana 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
$784.58 / $899.65 / $931.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.88 / $857.80 / $933.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $92.69 / $114.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.44 / $96.44 / $96.44
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 / $4,077.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $68.45 / $210.06