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North Dakota rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $15.85 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $36.31 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $26.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $26.92 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.59 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $18.62 / $30.90