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North Carolina 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
$927.12 / $927.12 / $1,002.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $927.12 / $927.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.61 / $208.62 / $241.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $2,695.00 / $2,695.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $67.59 / $67.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $4,077.00 / $5,096.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.46 / $927.12 / $1,097.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.00 / $2,732.00 / $2,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $80.83 / $159.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $199.28 / $199.28