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Vermont 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
$970.54 / $995.06 / $1,299.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,321.62 / $4,321.62 / $5,177.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,321.62 / $4,321.62 / $5,177.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $136.77 / $275.48