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Arkansas rates for HCPCS E1391

Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.50 / $456.50 / $456.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.50 / $687.60 / $1,005.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $519,999.48 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.41 / $1,108.33 / $1,231.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.57 / $97.57 / $97.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $97.57 / $97.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $750.60 / $750.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $103.99 / $1,375.57