go back

Massachusetts rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $51.70 / $150.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $16.37 / $23.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.46 / $38.94 / $137.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $18.05 / $43.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.90 / $50.79 / $88.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $16.97 / $23.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $26.81 / $61.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $19.96 / $30.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.74 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.14 / $26.14 / $30.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $25.02 / $67.20
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $21.26 / $23.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.94 / $137.69 / $137.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $10.83 / $38.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $15.14 / $43.03