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Maine 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
Professional
Modifier
Low / Median / High Price
$795.00 / $984.74 / $995.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.10 / $1,021.20 / $1,021.20
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 / $71.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $970.54 / $984.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $77.62 / $367.86