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South Carolina rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $44.67 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.49 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $120.23 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $45.71 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.22 / $25.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $20.89 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $18.20 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $11.22 / $25.12