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Michigan rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $17.14 / $31.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $15.75 / $17.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $20.42 / $35.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.21 / $13.54 / $18.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $18.05 / $49.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $11.73 / $18.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $20.65 / $25.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $17.14 / $31.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $17.14 / $21.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $14.95 / $20.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $9.76 / $11.55