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Indiana rates for HCPCS Q2017

Injection, teniposide, 50 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $338.84 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $354.81 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,630.27 / $2,754.23