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South Carolina 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
$732.13 / $732.13 / $732.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.95 / $732.13 / $927.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $1,045.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $83.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $829.69 / $1,098.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $2,200.00 / $2,200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.70 / $105.70 / $105.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $77.98 / $148.80