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Iowa 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
$795.00 / $795.00 / $914.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.09 / $825.68 / $1,097.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $4,321.62 / $6,242.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.19 / $330.03 / $350.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.27 / $1,224.04 / $4,832.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $112.06 / $2,573.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.65 / $190.65 / $450.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.53 / $228.10 / $450.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $64.81 / $779.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,863.19 / $1,863.19 / $1,863.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.92 / $1,863.19 / $1,863.19