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Ohio 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
$512.86 / $794.33 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $354.81 / $707.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $97.72 / $125.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $123.03 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $54.95 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $4,365.16 / $5,128.61
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $52.48 / $77.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $218.78 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $95.50 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $63.10 / $177.83