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Washington 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
$49.57 / $49.57 / $49.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.32 / $49.57 / $114.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.59 / $148.83 / $425.46
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.30 / $84.59 / $601.58
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 / $74.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.64 / $112.80 / $209.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $114.11 / $228.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $80.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.12 / $93.28 / $108.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.90 / $86.14 / $172.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.90 / $86.14 / $107.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.59 / $84.59 / $91.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.34 / $74.05 / $95.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $50.90 / $88.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $53.49