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Missouri 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
$225.60 / $347.80 / $347.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.31 / $278.39 / $347.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.82 / $280.10 / $280.10
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 / $66.81 / $66.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.77 / $202.10 / $486.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $24.24 / $69.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $24.24 / $81.99