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Indiana rates for HCPCS E0433

Portable Gaseous Oxygen System, Rental; Includes Portable Contai

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.94 / $290.94 / $290.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.63 / $290.94 / $358.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.00 / $304.00 / $586.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.20 / $304.00 / $419.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.68 / $58.02 / $72.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $54.07 / $63.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $72.28 / $592.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $25.15 / $51.63