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Hawaii 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
$549.54 / $831.76 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $4,365.16
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $213.80 / $2,398.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $93.33 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $158.49 / $1,995.26