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Texas rates for HCPCS 80158

Cyclosporine

Facilitymedian $51 · 10th–90th $16$2400%5%10th90th$51Professionalmedian $14 · 10th–90th $10$220%10%10th90th$14$2.0$10.0$50.0$200.0$1.0K

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
$14.45 / $69.18 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $54.95 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $18.20
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $28.18 / $109.65
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.20 / $25.70
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $39.81 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $30.90
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $138.04 / $138.04
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $18.20 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.22 / $32.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.14 / $15.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $52.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $18.20 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $17.78
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.33 / $18.20