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Maryland rates for HCPCS 80158

Drug Assay Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.13 / $60.54 / $64.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $15.51 / $16.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.62 / $16.66 / $26.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.57 / $12.50 / $23.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $19.18 / $29.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $22.56 / $27.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.83 / $16.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $9.02 / $17.71