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Nebraska 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
$1,096.48 / $1,096.48 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $4,073.80 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,096.48 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $104.71 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $104.71 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $100.00 / $1,047.13