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Pennsylvania rates for HCPCS E1392

Oxygen Concentrator, Dual Delivery Port, Capable Of Delivering 8

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.14 / $278.39 / $278.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.81 / $265.14 / $339.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.47 / $46.47 / $46.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $417.07 / $417.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.57 / $61.57 / $102.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.39 / $278.39 / $278.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.30 / $268.56 / $345.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $417.07 / $417.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.57 / $61.57 / $102.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.83 / $470.40 / $470.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $470.40 / $470.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $28.14 / $61.96