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Oklahoma 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
$2,426.06 / $2,426.06 / $3,420.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,456.01 / $2,545.87
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,396.11 / $2,547.36 / $2,995.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,645.71 / $11,381.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.94 / $2,495.94 / $2,970.18