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Illinois 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
$753.66 / $753.66 / $805.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.35 / $775.08 / $1,005.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.53 / $91.87 / $91.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.80 / $1,017.80 / $1,017.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $4,077.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.82 / $119.44 / $131.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $103.90 / $363.50