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Connecticut 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
$953.21 / $953.21 / $953.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $931.03 / $1,019.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $1,021.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,321.62 / $4,321.62 / $5,177.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.28 / $116.28 / $116.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $62.51 / $141.88