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Maine 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
$501.19 / $812.83 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $5,128.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $77.62 / $194.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $891.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $91.20 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $77.62 / $162.18