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Indiana rates for HCPCS E0443

Portable oxygen contents, gaseous, 1 month's supply = 1 unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $43.65 / $54.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $60.26 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.90 / $61.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $77.62 / $87.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $50.12 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $46.77 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $33.88 / $66.07