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Utah 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
$896.80 / $896.80 / $896.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.32 / $869.18 / $933.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $24.99 / $4,077.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.57 / $71.73 / $93.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $60.85 / $545.25