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Utah 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
$44.45 / $44.45 / $44.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.75 / $50.85 / $272.64
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 / $66.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.13 / $90.57 / $95.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.30 / $65.30 / $93.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $45.56 / $75.93