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Tennessee rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $48.37 / $224.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $15.51 / $17.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $9.02 / $44.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $18.05 / $24.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $38.70 / $69.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $13.88 / $25.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.94 / $86.10 / $137.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $12.41 / $25.23