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Indiana rates for HCPCS E1392

Portable oxygen concentrator, rental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.94 / $290.94 / $290.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.30 / $290.94 / $349.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $15.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.39 / $300.39 / $579.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.32 / $300.39 / $405.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.06 / $58.02 / $72.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $54.07 / $65.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $417.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.79 / $61.57 / $102.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $28.06 / $43.89