go back

Maine 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
$795.00 / $984.74 / $995.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $1,021.20 / $1,021.20
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 / $750.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $970.54 / $984.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $77.62 / $968.33