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Utah rates for HCPCS E1392

Portable oxygen concentrator, rental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.30 / $232.30 / $232.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.30 / $256.02 / $349.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.57 / $61.57 / $102.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $53.74 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $23.17 / $51.63