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Oklahoma rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $24.37 / $43.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $15.73 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.00 / $41.63 / $60.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $17.14 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.73 / $12.61 / $29.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $18.29 / $25.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $15.74 / $137.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.32 / $22.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $77.98 / $77.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $9.93 / $15.52