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New Jersey 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
$889.50 / $889.50 / $889.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.95 / $851.10 / $1,019.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $318.16 / $5,096.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $73.23 / $73.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $82.06 / $173.32