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Washington, DC rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.54 / $110.47 / $271.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $78.97 / $180.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $30.50 / $65.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $20.65 / $25.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $12.15 / $30.79