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North Carolina rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $57.54 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.49 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $77.62 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $23.44 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.88 / $25.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $35.48 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $15.85 / $35.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $18.20 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.59 / $25.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04