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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
$995.06 / $995.06 / $995.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.66 / $953.21 / $1,005.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $125.76 / $199.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $82.06 / $183.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.29 / $201.09 / $269.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.43 / $4,077.00 / $5,177.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $119.48 / $119.48
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.28 / $116.28 / $116.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $199.28 / $199.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $82.06 / $183.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $88.03 / $183.04