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North Dakota 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
$914.81 / $914.81 / $914.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $896.80 / $1,004.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,077.00 / $4,117.77 / $5,096.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $914.81 / $3,391.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $71.48 / $159.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $77.16 / $363.50