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Louisiana rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.13 / $26.45 / $88.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $19.13 / $23.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $35.60 / $67.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $19.86 / $31.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.69 / $17.69 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.73 / $39.08 / $111.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $12.11 / $25.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.34 / $34.06