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Alabama rates for HCPCS E0439

Stationary Liquid Oxygen System Rental; Includes Container Contents Regulator Flowmeter Humidifier Nebulizer Cannula Or Mask & Tubing (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.01 / $1,043.01 / $1,043.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.54 / $825.68 / $1,043.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $4,077.00 / $5,177.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $62.77 / $188.10