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Washington, DC 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
$143.10 / $143.10 / $143.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $143.10 / $254.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.23 / $1,002.23 / $1,002.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $592.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $24.26 / $35.08