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Florida 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
$412.09 / $505.66 / $865.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.38 / $752.61 / $931.03
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 / $83.43 / $5,096.25
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.93 / $236.93 / $236.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.83 / $228.98 / $286.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.30 / $77.62 / $130.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $700.20