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Minnesota 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
$795.00 / $795.00 / $795.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.54 / $795.00 / $1,004.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.68 / $94.68 / $2,276.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,993.31 / $3,376.79 / $8,304.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.12 / $4,199.31 / $5,177.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.86 / $2,840.87 / $6,538.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,628.53 / $4,077.00 / $4,077.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.70 / $146.30 / $4,782.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $62.73 / $2,573.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $67.95 / $1,333.86