go back

Maryland 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
$549.15 / $851.10 / $1,005.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.68 / $3,055.68 / $3,055.68
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 / $750.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.15 / $1,047.13 / $1,370.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.46 / $87.07 / $571.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.40 / $198.40 / $700.20