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Indiana 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
$60.00 / $60.00 / $60.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $60.00 / $70.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.98 / $79.29 / $88.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.68 / $43.92 / $66.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.30 / $106.31 / $132.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.59 / $101.88 / $119.60
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 / $102.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $55.52 / $92.54