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Utah 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
$896.80 / $896.80 / $896.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $869.18 / $933.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $4,077.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $77.67 / $1,313.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $60.85 / $199.28