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Massachusetts 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
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $199.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $81.28 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $204.17 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $4,365.16 / $5,128.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $81.28 / $181.97
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $199.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $81.28 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $77.62 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $81.28 / $181.97