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Idaho rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.88 / $169.26 / $171.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $35.20 / $35.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $19.12 / $70.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $20.65 / $25.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.97 / $31.54 / $36.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $21.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.08 / $40.61 / $66.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $30.85 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.74 / $36.95