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Kentucky 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
$211.19 / $312.19 / $312.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.31 / $262.73 / $323.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $224.08 / $280.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.91 / $67.69 / $85.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $58.55 / $80.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $66.81 / $66.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $20.74 / $45.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $23.17 / $30.90