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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
$516.40 / $516.40 / $741.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $753.66 / $1,005.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.79 / $289.56 / $700.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.93 / $145.05 / $579.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.20 / $193.05 / $568.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $95.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $4,077.00 / $5,177.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $83.43 / $228.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $270.60 / $412.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $65.05 / $160.33