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Mississippi 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
$267.58 / $366.86 / $384.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.81 / $296.39 / $384.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.15 / $31.15 / $34.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.94 / $40.94 / $40.94
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 / $480.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $19.30 / $29.43