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Hawaii rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $16.88 / $21.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $24.78 / $137.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $21.66 / $21.66
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $38.72 / $45.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $21.66 / $27.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $21.66 / $35.04
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $32.79 / $45.41