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New Hampshire rates for HCPCS E0447

Portable Oxygen Contents Liquid 1 Months 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
$51.82 / $51.82 / $62.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.84 / $51.82 / $69.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.36 / $89.36 / $105.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $53.49
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 / $66.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.93 / $47.89 / $78.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.94 / $62.63 / $79.72