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Colorado 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
$492.35 / $492.35 / $492.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.35 / $813.66 / $1,005.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $900.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $95.00 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $4,077.00 / $5,177.79
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.47 / $492.35 / $1,004.88
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.68 / $89.68 / $89.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $77.62 / $175.79