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New York 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
$680.88 / $1,005.44 / $1,005.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.50 / $896.80 / $1,248.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.16 / $700.20 / $1,477.42
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.69 / $143.69 / $1,867.97
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.69 / $143.69 / $1,867.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $83.43 / $5,177.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.58 / $73.23 / $73.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.23 / $73.23 / $73.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $162.61 / $1,594.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.43 / $183.87 / $382.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.98 / $82.06 / $183.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.00 / $1,626.12 / $1,626.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $172.78 / $1,626.12