go back

Missouri rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.34 / $24.26 / $164.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $15.70 / $17.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.95 / $83.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.89 / $48.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.92 / $37.85 / $100.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $18.27 / $27.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $29.00 / $137.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $12.62 / $21.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $15.14 / $22.69