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Mississippi rates for HCPCS E1390

Oxygen Concentrator Single Delivery Port Capable Of Delivering 85 Percent Or Greater Oxygen Concentration At The Prescribed Flow Rate. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.52 / $985.07 / $1,031.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $795.00 / $1,031.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $39.78 / $39.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.46 / $218.46 / $240.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.16 / $135.16 / $135.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $77.62 / $183.04