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Idaho 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
$2,545.87 / $2,545.87 / $2,545.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,485.96 / $2,575.82
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.33 / $2,575.82 / $3,258.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.31 / $324.31 / $354.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.54 / $330.54 / $5,132.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,495.94 / $2,495.94