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Kansas 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
$441.80 / $441.80 / $441.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $324.30 / $441.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $698.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.10 / $232.75 / $441.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $23.17 / $32.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $23.17 / $32.08