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South Dakota rates for HCPCS E1392

Portable oxygen concentrator, rental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.10 / $296.10 / $296.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.10 / $358.26 / $455.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.75 / $564.34 / $698.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.77 / $408.90 / $981.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $30.98 / $1,261.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.79 / $58.12 / $131.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.79 / $62.96 / $702.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $32.32 / $63.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.02 / $555.02 / $555.02