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Somewhat depends on the situation as to why you aren't using AdSense. If your site has all kinds of adult/illegal content then there's one set of answers (going lower tier networks like cpmly) but if the only reason is you don't like AdSense then there's a ton of great ad providers out there these days. District M, Sovrn, Appnexus, RhythmOne, Conversant to name a few.
The entire programmatic landscape has exploded in the last two years, so there's a lot of options to using AdSense nowadays that actually can generate half decent CPMs. Varies wildly, and not every network is a fit for every site. It also has a lot to do with how much traffic you have. If your site is very tiny (under 300k pageviews / month) AdSense is far and away your best option. If you're 1 million + there's a huge number of options out there for you.
I don't know, I haven't really thought about it. I have an account with adfly, and other url shortness. However, for placing ads on my YouTube channel and website it's Adsense, I can't think of a alternative to Adsense!