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New Hampshire 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
$970.54 / $970.54 / $1,164.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.92 / $970.54 / $1,005.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.10 / $560.10 / $1,021.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $71.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $82.06 / $375.86