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North Dakota 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
$353.50 / $353.50 / $353.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.19 / $296.10 / $353.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.75 / $564.34 / $698.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.02 / $312.08 / $379.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $21.03 / $38.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $21.03 / $38.58