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Utah 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 / $34.85 / $34.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.85 / $37.29 / $199.91
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 / $48.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $49.97 / $64.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.71 / $66.45 / $67.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.92 / $54.22 / $68.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $34.78 / $73.37