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Connecticut rates for HCPCS E0442

Oxygen Contents Liquid (For Use With Owned Liquid Stationary Systems Or When Both A Stationary And Portable Liquid System Are Owned) 1 Months Supply = 1 Unit (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.85 / $42.60 / $42.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.85 / $39.19 / $55.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.93 / $64.43 / $73.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.17 / $42.17 / $43.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.23 / $44.23 / $44.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $54.64
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.88 / $41.88 / $41.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.19 / $46.47 / $104.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.96 / $33.61 / $61.96