go back

Maine 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
$115.89 / $984.74 / $984.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $1,021.20 / $1,021.20
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
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.34 / $532.34 / $532.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $970.54 / $984.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $77.62 / $367.86