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Nebraska rates for HCPCS 80158

Cyclosporine

Facilitymedian $69 · 10th–90th $17$1910%10%10th90th$69Professionalmedian $16 · 10th–90th $11$1200%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $52.48 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.95 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.18 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $35.48 / $218.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $26.30 / $37.15
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.72 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $19.95