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West Virginia rates for HCPCS E1392

Portable oxygen concentrator, rental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.70 / $323.70 / $323.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.30 / $262.73 / $323.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.06 / $56.02 / $74.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $56.02 / $108.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $417.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $61.57 / $102.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $30.98 / $51.63