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Arkansas rates for HCPCS E0447

Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (LPM)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.07 / $44.07 / $44.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $46.64 / $68.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $519,999.48 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.55 / $102.64 / $114.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.35 / $90.35 / $90.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.35 / $90.35 / $90.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $55.25 / $66.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $48.27 / $78.66