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Illinois rates for HCPCS E0444

Portable Oxygen Contents Liquid (For Use Only With Portable Liquid Systems When No Stationary Gas Or Liquid System Is Used) 1 Months Supply = 1 Unit (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $36.67 / $59.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.54 / $36.67 / $52.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.35 / $164.01 / $345.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.77 / $67.92 / $110.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $40.36 / $78.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.31 / $34.31 / $75.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $143.10 / $292.76
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.78 / $76.78 / $76.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.96 / $50.96 / $76.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $34.85 / $66.13