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Tennessee 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
$825.68 / $825.68 / $869.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.66 / $869.71 / $1,019.94
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.06 / $4,832.10 / $5,008.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,687.97 / $4,687.97 / $7,722.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $84.09 / $792.27