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Vermont 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
Professional
Modifier
Low / Median / High Price
$160.94 / $175.68 / $215.55
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 / $151.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.10 / $147.10 / $147.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $125.04 / $151.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $27.02 / $53.21