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Montana rates for HCPCS Q2017

Injection, teniposide, 50 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $457.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $380.19 / $398.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $398.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $446.68 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89