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Missouri 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
$605.71 / $933.81 / $933.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.62 / $825.68 / $933.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.38 / $700.20 / $1,289.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.47 / $933.81 / $4,782.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $105.64 / $4,687.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $80.83 / $363.50