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Stationary Liquid Oxygen System, Rental

Wisconsin 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 $1,000 · 10th–90th $105$1,6220%50%10th90th$1,000Professionalmedian $871 · 10th–90th $115$1,1750%10%10th90th$871$50.0$200.0$1.0K$5.0K$20.0K

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
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$11,481.54
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,011.87
Typical High
$5,128.61
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$467.74
Typical High
$1,174.90
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$199.53
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$83.18
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$89.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$467.74
Typical High
$1,174.90
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$302.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$177.83