go back

Arizona 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
$3,204.80 / $3,954.48 / $8,985.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,485.96 / $2,545.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.50 / $7,952.11 / $14,084.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.60 / $2,396.11 / $2,695.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $2,545.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $2,545.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.74 / $2,426.06 / $3,055.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,495.94 / $11,381.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,495.94 / $2,645.71