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Vermont 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
Professional
Modifier
Low / Median / High Price
$34.85 / $42.60 / $58.09
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 / $44.23 / $150.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.23 / $44.23 / $44.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $44.23 / $150.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.42 / $65.18 / $130.38