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Wisconsin 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
$42.78 / $42.78 / $42.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.48 / $36.67 / $48.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.06 / $64.97 / $107.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $54.93 / $67.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $76.78 / $126.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.23 / $71.09 / $96.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $188.42 / $257.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.31 / $89.53 / $111.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.85 / $59.06 / $70.87
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.96 / $61.96 / $70.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.85 / $59.06 / $283.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.31 / $46.47 / $92.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.77 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.85 / $59.06 / $70.87
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.96 / $61.96 / $70.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.38 / $107.30 / $170.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $160.00 / $283.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.31 / $68.90 / $317.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.53 / $71.53 / $71.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.53 / $71.53 / $71.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $38.26 / $77.45