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Oklahoma 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
$52.72 / $52.72 / $52.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $52.72 / $68.23
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.77 / $69.20 / $186.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $55.52 / $100.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $45.56 / $92.54