go back

Maine rates for HCPCS 80158

Cyclosporine

Facilitymedian $30 · 10th–90th $18–$1860%20%10th90th$30Professionalmedian $17 · 10th–90th $13–$250%20%10th90th$17$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $29.51 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $169.82 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.23 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $25.70 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.20 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.20 / $21.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $18.20 / $37.15