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Michigan 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
$1,004.88 / $1,004.88 / $1,004.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.40 / $889.50 / $1,004.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.54 / $2,718.14 / $5,251.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $918.65 / $1,305.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.86 / $63.42 / $95.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $77.36 / $77.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $750.60 / $4,321.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.10 / $472.10 / $3,481.20
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $775.08 / $4,351.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.95 / $147.51 / $206.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.30 / $105.47 / $779.26