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Ohio 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
$516.40 / $516.40 / $854.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $753.66 / $1,019.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.93 / $289.56 / $575.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.93 / $135.00 / $263.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.53 / $126.84 / $258.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $1,045.06 / $1,045.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $71.76
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $1,045.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $81.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.00 / $130.00 / $187.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $77.62 / $363.50