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Arizona 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
Professional
Modifier
Low / Median / High Price
$516.40 / $752.61 / $927.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.35 / $104.74 / $201.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.58 / $762.73 / $1,754.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $105.64 / $792.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $88.03 / $199.28