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New Jersey 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
Facility
Modifier
Low / Median / High Price
$889.50 / $889.50 / $889.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.95 / $857.80 / $1,019.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $71.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $101.00 / $101.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.52 / $819.52 / $819.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $86.21 / $639.03