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California rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $104.71 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $41.69 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $15.14 / $52.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $85.11 / $245.47
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.89 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $30.20 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $18.20 / $30.20
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.20 / $40.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $138.04 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $21.88 / $21.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.88 / $53.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $16.98 / $41.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.62 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.72 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.72 / $36.31