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Georgia 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
$555.95 / $555.95 / $627.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.95 / $736.50 / $1,005.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.22 / $757.40 / $1,969.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $151.22 / $378.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.93 / $82.93 / $112.21
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 / $5,096.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.21 / $437.21 / $450.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $80.83 / $188.48