go back

Connecticut rates for HCPCS E1390

Oxygen Concentrator Single Delivery Port Capable Of Delivering 85 Percent Or Greater Oxygen Concentration At The Prescribed Flow Rate. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.21 / $953.21 / $953.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $927.12 / $1,019.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $1,021.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $64,999.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.28 / $116.28 / $116.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $62.73 / $396.58