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Mississippi 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
$718.52 / $985.07 / $1,031.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.52 / $803.66 / $1,031.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.23 / $186.23 / $204.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $135.16 / $135.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $275.22 / $5,921.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $62.77 / $159.41