go back

Massachusetts 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
$995.06 / $995.06 / $995.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.32 / $953.21 / $1,005.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,754.28 / $5,008.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.46 / $160.33 / $4,687.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $750.60 / $4,077.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $119.48 / $200.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,008.26 / $5,008.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.46 / $160.33 / $4,687.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $160.33 / $1,056.35