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Iowa 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
$2,995.14 / $2,995.14 / $5,756.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,485.96 / $2,995.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.20 / $445.78 / $2,545.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.31 / $534.48 / $4,693.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.20 / $2,457.00 / $3,690.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.89 / $2,645.71 / $11,381.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.66 / $360.38 / $508.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.58 / $385.26 / $602.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $518.29 / $773.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,570.83 / $2,970.18