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West Virginia 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
$869.18 / $869.18 / $869.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $680.88 / $896.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.37 / $628.14 / $1,027.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.33 / $776.42 / $1,764.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.80 / $1,017.80 / $1,017.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $4,256.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.77 / $140.63 / $456.72