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Tennessee rates for HCPCS E1392

Portable oxygen concentrator, rental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.08 / $312.08 / $328.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.30 / $313.32 / $379.76
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 / $102.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,280.00 / $7,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $23.71 / $41.30