go back

South Dakota rates for HCPCS 80158

Cyclosporine

Facilitymedian $27 · 10th–90th $16$350%20%40%10th90th$27Professionalmedian $16 · 10th–90th $12$490%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

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
$15.85 / $15.85 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $15.85
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $18.20 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $27.54 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $25.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $16.22 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20