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Wisconsin rates for HCPCS Q2017

Injection, teniposide, 50 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $537.03 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $2,511.89 / $3,019.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,570.40 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,754.23 / $11,481.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $64.57 / $346.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $13,182.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $13,489.63 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,630.27 / $2,951.21