Portable oxygen tank refill, one month supply

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Portable 02 contents, gas

Payers reporting HCPCS E0443

Payer pricing summary

Low

$16

Average

$77

Median

$71

High

$168

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	316	$62	$93	$93	101%	—	$32 – $468
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	308	$62	$60	$11	19%	—	$21 – $89
3	Aetna fee schedule · outpatient · +7 other terms	294	$62	$73	$42	57%	—	$4 – $492
4	WellCare fee schedule · outpatient · +4 other terms	200	$64	$66	$9	14%	—	$55 – $110
5	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	195	$70	$87	$53	62%	—	$0 – $364
6	Devoted fee schedule · outpatient · +2 other terms	177	$62	$63	$4	7%	—	$61 – $83
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	123	$64	$63	$3	5%	—	$61 – $78
8	Molina fee schedule · outpatient · +3 other terms	102	$78	$85	$32	38%	—	$53 – $190
9	Cigna fee schedule · outpatient · +7 other terms	90	$64	$75	$23	30%	—	$59 – $184
10	Anthem fee schedule · outpatient · +5 other terms	76	$62	$66	$12	18%	—	$59 – $136
11	Superior Healthplan fee schedule · outpatient	41	$65	$65	$2	3%	—	$60 – $76
12	Clover fee schedule · outpatient · +1 other terms	39	$61	$61	$6	10%	—	$55 – $76
13	Kaiser fee schedule · outpatient · +4 other terms	39	$62	$64	$3	4%	—	$61 – $72
14	Bcbs Tx fee schedule · outpatient	31	$68	$71	$21	30%	—	$53 – $263
15	Optum fee schedule · outpatient · +2 other terms	28	$62	$73	$28	38%	—	$61 – $154
16	Oscar fee schedule · outpatient · +2 other terms	24	$60	$62	$2	4%	—	$60 – $65
17	Caresource fee schedule · outpatient · +3 other terms	19	$62	$63	$3	5%	—	$61 – $73
18	Medicare fee schedule · outpatient	18	$61	$62	$3	5%	—	$61 – $72
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$74	$75	$4	5%	—	$71 – $87
20	Wellmark fee schedule · both · +3 other terms	13	$42	$42	$35	82%	—	$8 – $77
21	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$33	$44	$14	31%	—	$33 – $60
22	Ambetter case rate · outpatient · +5 other terms	12	$86	$90	$8	9%	—	$86 – $114
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$66	$67	$17	26%	—	$34 – $81
24	Bcbs Nj fee schedule · outpatient	12	$55	$119	$81	68%	—	$55 – $244
25	Medica fee schedule · outpatient · +7 other terms	12	$119	$121	$32	26%	—	$72 – $158

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