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Connecticut 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
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,018.94 / $64,565.42 / $64,565.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $67.61 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $81.28 / $776.25