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Iowa 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
$795.00 / $795.00 / $914.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $825.68 / $1,097.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $4,077.00 / $6,242.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.19 / $330.03 / $350.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.44 / $537.82 / $4,832.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $112.06 / $2,573.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.65 / $190.65 / $450.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.53 / $228.10 / $450.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $92.00 / $2,058.91