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Florida 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
$100.28 / $124.49 / $143.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.74 / $211.19 / $345.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $38.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $66.81
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $41.34 / $51.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $23.15 / $29.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.10 / $280.10 / $280.10