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New Hampshire 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
$160.94 / $160.94 / $193.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $184.14 / $323.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $280.10 / $280.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $66.81 / $66.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $24.67 / $28.78