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Ohio 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
$240.63 / $240.63 / $274.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.85 / $262.73 / $358.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $48.69 / $280.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.60 / $54.07 / $91.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $52.65 / $103.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $66.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $38.00 / $38.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $66.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $49.20 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $23.17 / $33.65