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Nebraska rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.76 / $76.72 / $208.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $15.63 / $31.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $12.54 / $12.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.72 / $27.44 / $29.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.00 / $147.00 / $147.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $25.81 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $35.86 / $156.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $10.83 / $46.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.11 / $36.78 / $56.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $40.00 / $52.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $10.83 / $36.10