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Kansas 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
$1,186.19 / $1,186.19 / $1,186.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.71 / $870.71 / $1,186.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $4,077.00 / $5,096.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.54 / $687.60 / $1,186.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $74.65 / $199.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $72.88 / $200.40