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Kentucky 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
$580.66 / $858.36 / $858.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.66 / $687.60 / $896.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $39.78 / $300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.78 / $700.20 / $1,190.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.57 / $580.97 / $1,045.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.40 / $621.64 / $1,045.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $1,017.80 / $1,017.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $4,256.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $71.93 / $89.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $103.99 / $203.03