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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $97.72 / $645.65