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Ohio 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
$512.86 / $794.33 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $1,202.26 / $1,949.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $758.58 / $1,122.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $776.25 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $1,000.00 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $776.25 / $1,122.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $758.58 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $100.00 / $177.83
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $109.65 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $104.71 / $776.25