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Tennessee 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
$312.08 / $312.08 / $328.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.58 / $312.08 / $379.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $38.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $66.81 / $66.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $80.00 / $80.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $19.30 / $30.90