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Kansas 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
$1,186.19 / $1,186.19 / $1,186.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $870.71 / $1,186.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,726.60 / $2,726.60 / $2,726.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $5,096.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.88 / $941.64 / $4,782.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $105.47 / $4,687.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $79.41 / $294.39