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Louisiana 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
$784.58 / $899.65 / $931.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.16 / $857.80 / $933.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $92.69 / $114.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.76 / $90.76 / $90.76
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 / $4,077.00 / $5,177.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $67.41 / $178.24