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Oregon 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
$801.82 / $801.82 / $801.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.35 / $640.32 / $1,005.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.66 / $2,047.60 / $2,528.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.08 / $640.32 / $1,669.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.20 / $107.77 / $209.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.50 / $1,803.49 / $1,829.10
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.50 / $1,803.49 / $1,829.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.08 / $228.88 / $1,376.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.02 / $115.92 / $750.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $73.40 / $272.86