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North Carolina rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $57.04 / $389.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $15.63 / $24.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.54 / $80.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.65 / $75.30 / $75.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.11 / $12.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $19.10 / $47.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.31 / $25.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $15.74 / $35.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $25.86 / $33.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $12.62 / $24.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.45 / $137.69 / $137.69