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Connecticut 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
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $1,288.25 / $64,565.42
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $77.62 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $776.25