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Delaware 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
$640.32 / $851.10 / $896.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.43 / $83.43 / $83.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $103.99 / $225.37