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Minnesota 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 / $2,995.14 / $2,995.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,485.96 / $2,995.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.30 / $3,627.87 / $5,910.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.70 / $2,545.87 / $2,545.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.90 / $457.00 / $1,145.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.19 / $445.78 / $483.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.63 / $460.05 / $1,246.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $356.63 / $380.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.24 / $2,995.14 / $2,995.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,778.52 / $11,381.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,645.71 / $5,120.04