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South Carolina 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
$732.13 / $732.13 / $732.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.95 / $732.13 / $927.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,880.00 / $3,394.80 / $3,778.30
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
$79.45 / $750.60 / $750.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.75 / $829.69 / $1,170.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.69 / $1,880.00 / $1,880.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.70 / $105.70 / $105.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $80.83 / $779.26