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Indiana 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
Facility
Modifier
Low / Median / High Price
$816.47 / $816.47 / $816.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.07 / $816.47 / $995.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.20 / $700.20 / $1,351.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.84 / $700.20 / $945.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.70 / $130.55 / $207.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $123.30 / $163.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $190.49 / $4,321.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $77.98 / $173.32