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Louisiana 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
$784.58 / $899.65 / $931.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.95 / $857.80 / $931.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.56 / $1,668.00 / $1,720.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.00 / $96.00 / $96.00
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 / $4,077.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $77.62 / $241.48