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Massachusetts 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
$36.84 / $36.84 / $36.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.84 / $44.21 / $68.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $179.84 / $425.46
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $74.03 / $130.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.49 / $105.71 / $134.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.95 / $61.12 / $61.12
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 / $107.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.94 / $56.94 / $56.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.84 / $425.46 / $425.46
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $56.33 / $489.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $56.33 / $86.76