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Maine rates for HCPCS Q2017

Injection Teniposide 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.01 / $2,545.87 / $2,995.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.58 / $385.70 / $1,099.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,545.86 / $2,545.86
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.01 / $2,545.87 / $2,545.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.56 / $2,495.94 / $3,619.13