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Wyoming 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
$492.35 / $492.35 / $1,164.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.40 / $1,338.40 / $1,338.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $81.14 / $109.96