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Massachusetts 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
$167.31 / $167.31 / $167.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $167.31 / $278.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.88 / $80.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $24.67 / $41.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.26 / $75.56 / $96.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $558.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $21.34 / $21.34
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.42 / $25.42 / $25.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $24.67 / $41.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $24.67 / $48.04