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Arizona rates for HCPCS 80158

Drug Assay Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $59.82 / $79.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $15.63 / $116.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $11.73 / $11.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.10 / $39.72 / $66.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $15.21 / $21.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $29.33 / $52.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.15 / $21.89 / $27.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $15.74 / $137.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.60 / $14.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.60 / $11.07