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Hawaii 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
$687.60 / $896.80 / $1,005.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $750.60 / $4,321.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.63 / $2,267.25 / $2,374.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $251.18 / $523.42