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Nebraska 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
$1,097.84 / $1,097.84 / $1,097.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.71 / $1,097.84 / $1,224.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.63 / $4,321.62 / $5,177.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.58 / $308.13 / $1,921.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $79.23 / $315.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.53 / $190.65 / $343.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.53 / $228.10 / $432.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $62.77 / $232.87