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Missouri 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 $309 · 10th–90th $51–$6170%10%10th90th$309Professionalmedian $275 · 10th–90th $34–$3800%10%10th90th$275$5.0$20.0$100.0$500.0$2.0K

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
$223.87 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $302.00 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $38.90 / $707.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $323.59 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $39.81 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $23.99 / $48.98