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North Carolina 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
$152.90 / $345.28 / $345.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $324.29 / $345.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.86 / $98.18 / $120.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $539.00 / $539.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $558.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.00 / $296.88 / $397.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $59.00 / $59.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $22.25 / $29.97
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $80.00 / $100.00