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Illinois 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
$2,396.11 / $4,492.71 / $6,289.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,396.11 / $2,545.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.00 / $1,945.24 / $29,536.90
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $480.70 / $565.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,645.71 / $2,778.52