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Massachusetts 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
$995.06 / $995.06 / $995.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.66 / $953.21 / $1,005.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,296.18 / $1,538.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $105.47 / $779.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.70 / $308.70 / $916.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $4,077.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $119.48 / $119.48
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.08 / $158.08 / $158.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,296.18 / $1,538.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $105.64 / $749.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.46 / $105.64 / $813.78