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Virginia 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
$143.10 / $262.73 / $262.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $262.73 / $353.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.10 / $280.10 / $344.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.23 / $1,002.23 / $1,002.23
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.54 / $190.51 / $345.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.98 / $66.56 / $89.73
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.98 / $36.24 / $296.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.98 / $36.24 / $296.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $24.45 / $35.04