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Minnesota 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
$60.08 / $60.08 / $60.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.32 / $60.08 / $73.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.17 / $108.60 / $130.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.88 / $103.17 / $108.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $284.50 / $790.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.63 / $114.08 / $136.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.85 / $270.33 / $622.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.63 / $107.63 / $110.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $92.90 / $167.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $49.14 / $141.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $46.27 / $103.64