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Idaho 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
$801.82 / $801.82 / $801.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.32 / $879.27 / $1,479.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $750.60 / $750.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.68 / $752.61 / $1,479.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.08 / $92.08 / $92.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $127.91 / $1,292.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $105.64 / $792.27