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Oklahoma 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
$687.60 / $687.60 / $687.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.60 / $761.56 / $995.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.60 / $114.60 / $135.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $750.60 / $750.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.58 / $687.60 / $1,376.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $74.89 / $1,800.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $64.91 / $706.45