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Nebraska 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 / $5,224.72 / $6,620.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,396.11 / $2,995.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.86 / $392.78 / $392.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.13 / $392.77 / $392.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.33 / $452.91 / $2,545.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.66 / $3,294.65 / $4,552.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,645.71 / $11,381.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.33 / $321.20 / $553.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.66 / $376.57 / $602.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.20 / $301.20 / $773.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,495.94 / $2,970.18