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Iowa 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
$296.10 / $296.10 / $353.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $268.56 / $408.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $564.34 / $1,068.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.75 / $52.65 / $60.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.35 / $80.00 / $529.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $24.24 / $70.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.79 / $58.12 / $134.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.79 / $70.27 / $134.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $24.24 / $63.48