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Tennessee 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
$825.68 / $825.68 / $869.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.66 / $869.71 / $1,019.94
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 / $24.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.28 / $1,296.18 / $3,391.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,421.00 / $4,271.12 / $4,271.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $77.62 / $189.85