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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

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