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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$753.66 / $953.21 / $995.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.32 / $236.96 / $274.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.12 / $121.32 / $121.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.26 / $4,321.62 / $5,177.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $82.06 / $175.03