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New Jersey 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
$889.50 / $889.50 / $889.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $816.47 / $1,019.94
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.58 / $117.86 / $223.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.65 / $1,253.00 / $1,253.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.52 / $819.52 / $819.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $103.90 / $620.97