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Georgia rates for HCPCS 80158

Drug Assay Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $53.97 / $146.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $15.63 / $31.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $10.83 / $10.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $19.86 / $62.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $8.91 / $20.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.92 / $18.05 / $28.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $11.73 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $39.71 / $56.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $21.89 / $27.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $21.42 / $27.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $8.11 / $37.17