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Louisiana 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 / $3,144.90 / $8,356.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.06 / $2,995.14 / $2,995.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.63 / $2,695.63 / $4,043.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,560.85 / $2,695.63 / $2,749.54
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.36 / $2,495.94 / $2,872.84