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Kentucky 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
$580.66 / $858.36 / $858.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $726.41 / $896.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.78 / $700.20 / $1,190.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.81 / $135.38 / $189.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $121.96 / $175.62
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
$79.45 / $750.60 / $4,256.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.51 / $71.93 / $89.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $103.90 / $616.20