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Vermont 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
Professional
Modifier
Low / Median / High Price
$92.37 / $995.06 / $1,299.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $4,321.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $5,177.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $136.77 / $290.56