go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$549.15 / $851.10 / $1,005.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.68 / $3,055.68 / $3,055.68
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 / $71.76 / $5,177.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $82.06 / $183.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.28 / $199.28 / $700.20