Details: Single Delivery Port, 85% Oxygen or Greater. E1390 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.
Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?
Cost Key: |
Lower Cost | Medium Cost | Higher Cost |
Facility ![]() |
City/State |
Average Cost Range ![]() |
||
|---|---|---|---|---|
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Allina Community Pharmacies (15) | $240.52 - $293.96 | |||||
| Abbott NW Medical Bldg Pharmacy | Minneapolis, MN | $240.52 - $293.96 | |||||
| Abbott NW Piper Bldg Pharmacy | Minneapolis, MN | $240.52 - $293.96 | |||||
| Cottage Grove Pharmacy | Cottage Grove, MN | $240.52 - $293.96 | |||||
| Healthcare Pharmacy | Coon Rapids, MN | $240.52 - $293.96 | |||||
| Heart Hospital | Minneapolis, MN | $240.52 - $293.96 | |||||
| Medical Arts Building | Minneapolis, MN | $240.52 - $293.96 | |||||
| Mercy Hospital Outpatient Pharmacy | Coon Rapids, MN | $240.52 - $293.96 | |||||
| Owatonna Pharmacy Care | Owatonna, MN | $240.52 - $293.96 | |||||
| PEI Pharmacy | Minneapolis, MN | $240.52 - $293.96 | |||||
| Ritchie Medical Plaza Pharmacy | Saint Paul, MN | $240.52 - $293.96 | |||||
| Rum River Drug | Cambridge, MN | $240.52 - $293.96 | |||||
| United Hospital Outpatient Pharmacy | Saint Paul, MN | $240.52 - $293.96 | |||||
| Unity Community Pharmacy | Fridley, MN | $240.52 - $293.96 | |||||
| Westhealth Pharmacy | Plymouth, MN | $240.52 - $293.96 | |||||
| Woodbury Pharmacy | Woodbury, MN | $240.52 - $293.96 | |||||
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Allina Home Oxygen & Medical Equipment (10) | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Saint Paul, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Buffalo, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Coon Rapids, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Minneapolis, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Fridley, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Cambridge, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Owatonna, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Saint Paul, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | New Ulm, MN | $240.52 - $293.96 | |||||
| Allina Home Oxygen & Medical Equipment | Hutchinson, MN | $240.52 - $293.96 | |||||
| Aspen Medical Group - Musculoskeletal Center | Saint Paul, MN | $240.52 - $293.96 | |||||
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Lincare Inc (34) | $148.50 - $181.50 | |||||
| Breathe EZ Oxygen & Respiratory Care | Wagner, SD | $148.50 - $181.50 | |||||
| Breathe EZ Oxygen & Respiratory Care | Rapid City, SD | $148.50 - $181.50 | |||||
| Foothills Home Medical Equipment | Sturgis, SD | $148.50 - $181.50 | |||||
| Lincare Inc | Menomonee Falls, WI | $148.50 - $181.50 | |||||
| Lincare Inc | Canton, SD | $148.50 - $181.50 | |||||
| Lincare Inc | Minnesota City, MN | $148.50 - $181.50 | |||||
| Lincare Inc | Beltsville, MD | $148.50 - $181.50 | |||||
| Lincare Inc | Fergus Falls, MN | $148.50 - $181.50 | |||||
| Lincare Inc | Janesville, WI | $148.50 - $181.50 | |||||
| Lincare, Inc. | Winona, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Eau Claire, WI | $148.50 - $181.50 | |||||
| Lincare, Inc. | Golden Valley, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Wessington Springs, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Waite Park, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Fergus Falls, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | North Sioux City, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Rapid City, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Thief River Falls, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Detroit Lakes, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Willmar, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Savage, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Pierre, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Cambridge, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Fargo, ND | $148.50 - $181.50 | |||||
| Lincare, Inc. | Saint Paul, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Dell Rapids, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Red Wing, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Wahpeton, ND | $148.50 - $181.50 | |||||
| Lincare, Inc. | Spearfish, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Rochester, MN | $148.50 - $181.50 | |||||
| Lincare, Inc. | Big Stone City, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Grand Forks, ND | $148.50 - $181.50 | |||||
| Lincare, Inc. | Winner, SD | $148.50 - $181.50 | |||||
| Lincare, Inc. | Little Falls, MN | $148.50 - $181.50 | |||||
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Sports and Orthopaedic Specialists (4) | $240.52 - $293.96 | |||||
| Sports and Orthopaedic Specialists P.A. | Saint Cloud, MN | $240.52 - $293.96 | |||||
| Sports and Orthopaedic Specialists P.A. | Blaine, MN | $240.52 - $293.96 | |||||
| Sports and Orthopaedic Specialists P.A. | Edina, MN | $240.52 - $293.96 | |||||
| Sports and Orthopaedic Specialists P.A. | Minneapolis, MN | $240.52 - $293.96 |
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