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Arizona rates for HCPCS E1390

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.09 / $732.13 / $927.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.39 / $127.53 / $245.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.62 / $551.49 / $641.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.47 / $860.98 / $4,782.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $105.64 / $792.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $101.42 / $199.28