go back

Alaska rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.37 / $124.57 / $211.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $60.47 / $69.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.85 / $49.85 / $49.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $20.65 / $25.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $15.74 / $15.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $72.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.18 / $69.48 / $116.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $40.61 / $40.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $15.74 / $63.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $23.34 / $26.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.35 / $36.10 / $54.46