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South 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
$54.26 / $54.26 / $54.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $54.26 / $70.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $88.94 / $124.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $105.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $55.25 / $67.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $67.80 / $125.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $67.80 / $67.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.47 / $44.47 / $44.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.42 / $48.27 / $78.66