go back

New Hampshire rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $43.33 / $126.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $20.57 / $20.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.69 / $34.94 / $81.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $11.73 / $13.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.17 / $91.53 / $122.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $13.05 / $25.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $32.08 / $65.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.83 / $32.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $21.41 / $29.04