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Montana 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 $191 · 10th–90th $51–$4270%10%10th90th$191Professionalmedian $288 · 10th–90th $219–$3800%10%20%10th90th$288$20.0$50.0$100.0$200.0$500.0$1.0K$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
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $588.84 / $707.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $218.78 / $426.58
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $50.12 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $33.11 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $33.88