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Illinois rates for HCPCS 80158

Cyclosporine

Facilitymedian $40 · 10th–90th $18–$1700%5%10%10th90th$40Professionalmedian $15 · 10th–90th $4–$360%20%10th90th$15$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $38.02 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $56.23 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $12.59 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $41.69 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $20.89 / $33.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $36.31 / $331.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.48 / $18.20