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New Hampshire 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
$970.54 / $970.54 / $1,164.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.92 / $970.54 / $1,005.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $1,021.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $750.60 / $750.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $82.06 / $375.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $240.49 / $300.62