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Connecticut rates for HCPCS E0433

Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge

Facilitymedian $398 · 10th–90th $31$3980%50%10th$398Professionalmedian $295 · 10th–90th $219$3980%20%10th90th$295$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $588.84 / $707.95
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39,810.72 / $39,810.72 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $30.90 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $24.55 / $50.12