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Maine rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $29.24 / $182.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.62 / $14.62 / $24.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $24.10 / $182.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $7.22 / $20.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $25.36 / $38.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $24.57 / $26.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $21.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $182.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.62 / $18.05 / $21.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $14.75 / $43.03