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Iowa rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $42.67 / $142.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $13.90 / $116.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $32.64 / $40.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $31.59 / $154.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $30.28 / $87.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $18.59 / $49.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.11 / $36.78 / $56.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $36.78 / $51.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $15.24 / $81.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $18.05 / $18.05