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North Carolina 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
$927.12 / $927.12 / $1,002.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $927.12 / $927.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.33 / $208.62 / $241.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $392.70 / $392.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.59 / $67.59 / $1,045.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $4,077.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.40 / $841.50 / $1,112.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $80.83 / $176.06
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,296.18 / $1,538.19
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,421.00 / $2,421.00 / $2,421.00