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Rhode Island 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
$9,734.20 / $9,734.20 / $9,734.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.11 / $2,545.87 / $2,545.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.87 / $2,645.71 / $2,795.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.63 / $2,695.63 / $2,695.63
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
$2,495.94 / $2,495.94 / $2,778.52