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North Dakota 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
$914.81 / $914.81 / $914.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $896.80 / $1,004.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.37 / $2,299.26 / $2,356.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,077.00 / $4,117.77 / $5,096.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.72 / $914.81 / $4,782.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $77.16 / $3,117.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $78.31 / $2,573.64