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North Dakota rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $12.64 / $32.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $15.63 / $16.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $36.36 / $40.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.86 / $26.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $27.08 / $137.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $21.66 / $30.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $18.41 / $30.95