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New Jersey 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 / $3,055.04 / $6,211.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.65 / $2,485.96 / $2,545.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.25 / $2,545.87 / $3,294.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $2,545.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.77 / $2,545.87 / $2,545.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $2,545.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.71 / $2,645.71 / $2,645.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,620.75 / $2,902.29