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Ohio 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 / $6,661.19 / $9,973.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,396.11 / $2,545.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.71 / $645.33 / $5,840.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.95 / $433.68 / $2,845.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.08 / $195.08 / $321.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.08 / $195.08 / $195.08
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $2,545.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,545.87 / $2,545.87 / $2,995.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.95 / $398.99 / $500.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,495.94 / $2,995.14