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Montana 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
Professional
Modifier
Low / Median / High Price
$100.28 / $290.24 / $353.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.48 / $84.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $66.81 / $66.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.98 / $46.03 / $312.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $49.89 / $66.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $23.17 / $26.86