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Rhode Island rates for HCPCS 80158

Drug Assay Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.55 / $54.10 / $103.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $15.63 / $16.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.26 / $22.20 / $36.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $13.54 / $34.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $43.07 / $75.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $19.96 / $25.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $13.18 / $35.71