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Nationwide rates for HCPCS E0434

Portable Liquid Oxygen System Rental; Includes Portable Container Supply Reservoir Humidifier Flowmeter Refill Adaptor Contents Gauge Cannula Or Mask And Tubing (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.85 / $268.56 / $274.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $262.73 / $351.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.10 / $280.10 / $540.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $280.10 / $317.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $50.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $66.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $23.17 / $35.08