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Maryland 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 / $2,545.87 / $2,545.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,396.11 / $2,396.11
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.56 / $280.77 / $408.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,778.52 / $2,978.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.55 / $324.55 / $324.55