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Arizona 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
Professional
Modifier
Low / Median / High Price
$492.35 / $732.13 / $927.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.22 / $123.78 / $238.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $4,077.00 / $5,096.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.58 / $617.45 / $1,004.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $101.42 / $199.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $77.62 / $199.28