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New Hampshire rates for HCPCS E0431

Portable Gaseous Oxygen System Rental; Includes Portable Container Regulator Flowmeter Humidifier 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
$160.94 / $160.94 / $193.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.03 / $160.94 / $184.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.86 / $164.86 / $200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.10 / $147.10 / $147.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $125.04 / $125.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $17.26 / $82.60