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Arkansas rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $37.85 / $224.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $28.07 / $28.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $20.58 / $20.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.46 / $30.09 / $30.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $11.73 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.61 / $22.29 / $45.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $20.65 / $25.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $18.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.83 / $18.16