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Wyoming 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
$489.78 / $794.33 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $100.00 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $158.49 / $2,041.74