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Hawaii rates for HCPCS E0439

Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.60 / $896.80 / $1,005.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $71.76 / $5,177.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.92 / $189.44 / $189.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $80.83 / $301.42