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Massachusetts 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 $282 · 10th–90th $42–$2820%20%40%10th$282Professionalmedian $282 · 10th–90th $42–$3980%20%40%10th90th$282$0.1$0.5$5.0$50.0$500.0$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $281.84 / $407.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $63.10 / $134.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $588.84 / $707.95
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $83.18 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $44.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $63.10 / $134.90
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $33.11 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $85.11