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Pennsylvania rates for HCPCS 80158

Cyclosporine

Facilitymedian $48 · 10th–90th $15$950%10%20%10th90th$48Professionalmedian $15 · 10th–90th $13$350%20%40%10th90th$15$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$15.49 / $47.86 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $34.67
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $89.13 / $1,202.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $27.54 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $23.44 / $43.65
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $26.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.95 / $31.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $47.86 / $102.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.02 / $13.49
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $75.86 / $173.78
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $27.54 / $52.48
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $25.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $19.50 / $21.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.89 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $18.20 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.75 / $31.62