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North Carolina 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
$70.58 / $70.58 / $70.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.72 / $68.84 / $70.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.42 / $84.51 / $184.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.61 / $81.45 / $89.60
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 / $107.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.16 / $67.80 / $93.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $67.80 / $67.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $154.00 / $154.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $55.52 / $79.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.83 / $425.46 / $425.46
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.33 / $489.33 / $619.65