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Louisiana 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
$776.25 / $776.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,000.00 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $109.65 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $77.62 / $776.25