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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
$953.21 / $953.21 / $953.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $931.03 / $1,019.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $1,021.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $62.73 / $635.79