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Portable Liquid Oxygen System, Rental

Utah 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

Rates data updated October 2026.

How much does Portable Liquid Oxygen System, Rental cost?

$36.31

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $28.84 to $145.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $145 · 10th to 90th $145 to $145Professionalmedian $36 · 10th to 90th $23 to $145
$20$50$100$200$500facility $145professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$323.59
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$30.90
Median
$30.90
Typical High
$33.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$562.34
Typical High
$691.83
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$26.30
Median
$26.30
Typical High
$30.90
Molina
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$46.77
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$47.86
Median
$48.98
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
RR · Rental
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Select Health
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Select Health
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$51.29
Typical High
$52.48
Select Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$38.90
Median
$51.29
Typical High
$52.48
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$40.74
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$22.91
Typical High
$43.65
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$17.38
Median
$22.91
Typical High
$28.84
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$120.23
Median
$245.47
Typical High
$426.58

Where Utah sits

The same service costs 29.5 times more in Wyoming than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 43rd of 51

$36.31

WY $676OK $22.91

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.