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Washington, DC 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
$896.80 / $896.80 / $896.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.44 / $896.80 / $896.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.68 / $3,055.68 / $3,055.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $4,321.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.19 / $1,052.60 / $1,105.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.30 / $82.06 / $974.97