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Indiana rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $18.05 / $66.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $15.63 / $17.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $17.20 / $54.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $13.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $19.86 / $25.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $18.95 / $24.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.21 / $18.05 / $46.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $20.65 / $43.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.12 / $62.12 / $62.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $11.51 / $18.05