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North Carolina 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
$465.57 / $2,545.87 / $2,545.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,545.87 / $2,545.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.59 / $639.83 / $706.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.59 / $366.59 / $641.53
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 / $2,845.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.52 / $326.02 / $3,182.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.00 / $325.35 / $4,153.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,645.71 / $2,995.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,995.14 / $13,228.55 / $13,228.55
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,381.53 / $11,381.53 / $13,478.13