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New Hampshire 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
$2,545.87 / $2,545.87 / $3,055.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.65 / $2,545.87 / $2,545.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.72 / $1,516.41 / $4,492.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,545.86 / $2,545.86
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 / $2,545.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.56 / $2,495.94 / $2,645.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.87 / $2,800.46 / $3,564.22