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New Hampshire rates for HCPCS 80158

Cyclosporine

Facilitymedian $46 · 10th–90th $20–$1150%10%10th90th$46Professionalmedian $15 · 10th–90th $12–$450%10%20%10th90th$15$10.0$20.0$50.0$100.0

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
$20.42 / $45.71 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $67.61 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $18.62 / $52.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $31.62 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $15.14 / $67.61