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Michigan 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
$2,396.11 / $2,995.14 / $4,193.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,396.11 / $2,545.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.96 / $4,286.22 / $8,167.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.14 / $2,082.34 / $2,502.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.02 / $2,545.87 / $2,545.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.71 / $3,114.94 / $6,667.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,645.71 / $3,174.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $520.42 / $520.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,778.52 / $3,095.27