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Kansas 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
$1,186.19 / $1,186.19 / $1,186.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.71 / $870.71 / $1,186.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $750.60 / $5,096.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.88 / $870.71 / $4,832.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $103.99 / $4,687.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $79.41 / $1,039.02