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Virginia 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
$47.57 / $50.85 / $50.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.72 / $50.85 / $73.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.35 / $90.35 / $95.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $65.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.03 / $74.03 / $74.03
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 / $65.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.97 / $82.62 / $135.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $64.41 / $108.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $140.33 / $210.53
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.46 / $67.80 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.46 / $67.80 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $55.52 / $92.54