go back

Alaska rates for HCPCS Q2017

Injection Teniposide 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,003.01 / $14,152.00 / $14,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,485.96 / $4,043.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $2,545.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.08 / $4,043.44 / $5,782.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.12 / $314.45 / $314.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,193.20 / $4,193.20 / $6,589.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,995.14 / $3,594.17 / $3,594.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.80 / $4,043.44 / $5,990.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $3,594.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.71 / $3,743.93 / $7,487.85