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South Dakota 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 $295 · 10th–90th $87–$6920%20%10th90th$295Professionalmedian $347 · 10th–90th $48–$5620%10%10th90th$347$20.0$50.0$100.0$200.0$500.0$1.0K

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
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $346.74 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $691.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $354.81 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $23.99 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.88 / $48.98