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Ohio rates for HCPCS 80158

Cyclosporine

Facilitymedian $40 · 10th–90th $18$1000%5%10%10th90th$40Professionalmedian $14 · 10th–90th $9$300%20%10th90th$14$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$18.20 / $44.67 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.20 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $23.44
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $20.89
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $18.20 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $23.44 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $34.67
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $30.20 / $125.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.49 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.22 / $22.39
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.05 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $18.20 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.72 / $21.88