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Florida 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
$412.09 / $505.66 / $865.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.38 / $732.13 / $929.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $39.78 / $81.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $1,017.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.92 / $1,326.08 / $2,621.85
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.57 / $854.22 / $906.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.05 / $182.93 / $228.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $77.93 / $199.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $700.20