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Oklahoma 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
$687.60 / $687.60 / $687.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.60 / $761.56 / $995.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $71.76 / $5,096.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.58 / $267.83 / $902.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $64.91 / $199.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $60.85 / $199.28