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Virginia 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
$549.15 / $549.15 / $896.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $753.66 / $1,004.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.10 / $560.10 / $688.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.68 / $3,055.68 / $3,055.68
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.53 / $615.04 / $1,112.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $189.35 / $2,200.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.79 / $173.31 / $2,091.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.05 / $173.31 / $2,109.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $82.06 / $200.41