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Montana 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
Professional
Modifier
Low / Median / High Price
$33.90 / $62.42 / $272.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $114.03 / $114.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $66.44 / $114.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $93.28 / $114.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $84.59 / $114.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $45.56 / $55.52