go back

Connecticut 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.50 / $172.50 / $172.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $200.77 / $379.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $280.10 / $280.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $66.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.42 / $25.42 / $25.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $23.17 / $32.09