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Maryland 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
Professional
Modifier
Low / Median / High Price
$549.15 / $851.10 / $1,005.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,055.68 / $3,055.68 / $3,055.68
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 / $750.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.15 / $1,047.13 / $1,370.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.46 / $103.99 / $779.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.28 / $199.28 / $700.20