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New York rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.34 / $34.43 / $77.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $15.63 / $18.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $46.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $10.83 / $40.72
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.83 / $18.05 / $18.05
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.05 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $36.74 / $185.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $20.46 / $115.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.60 / $23.47 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $10.74 / $33.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $10.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $17.14 / $23.01
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $12.64 / $12.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $51.51 / $88.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $44.27 / $243.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $16.23 / $37.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.83 / $28.45
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.76 / $20.76 / $66.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $19.52 / $23.97