go back

New York 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
$680.88 / $1,005.44 / $1,005.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $896.80 / $1,248.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.20 / $700.20 / $1,565.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.69 / $143.69 / $1,867.97
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.69 / $143.69 / $1,867.97
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
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.61 / $172.78 / $172.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,017.80 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.60 / $750.60 / $750.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.98 / $106.94 / $779.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.61 / $162.61 / $162.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.61 / $162.61 / $172.78