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Tennessee 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
$831.76 / $870.96 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $120.23
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,011.87 / $5,011.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $7,762.47 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $109.65 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $107.15 / $794.33