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New Jersey 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.81 / $278.39 / $388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $558.75 / $698.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39,999.60 / $39,999.60 / $39,999.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $28.06 / $45.72