go back

Stationary Liquid Oxygen System, Rental

Utah rates for HCPCS E0439

Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $87$8910%50%10th$891Professionalmedian $724 · 10th–90th $100$1,0000%10%10th90th$724$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$138.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$177.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$100.00
Typical High
$199.53