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Massachusetts 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 / $3,454.75 / $5,026.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,545.87 / $2,545.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,995.14 / $13,228.55 / $13,228.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,645.71 / $11,381.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,050.25 / $3,494.13 / $6,789.08
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.99 / $363.52 / $741.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,995.14 / $13,228.55 / $13,228.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,645.71 / $11,381.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.31 / $2,545.87 / $3,071.57