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Illinois rates for HCPCS E1392

Portable oxygen concentrator, rental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.56 / $268.56 / $268.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.30 / $268.56 / $388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.40 / $45.06 / $45.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $417.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.57 / $61.57 / $558.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.63 / $100.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.58 / $27.58 / $41.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $28.14 / $47.51