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Missouri 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
$602.56 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $707.95 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $912.01 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $102.33 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $165.96 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $104.71 / $776.25