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Utah rates for HCPCS 80158

Cyclosporine

Facilitymedian $123 · 10th–90th $22–$1320%10%20%10th90th$123Professionalmedian $14 · 10th–90th $12–$210%20%10th90th$14$10.0$20.0$50.0$100.0

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
$36.31 / $123.03 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $19.05 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.30 / $34.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $16.22
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.20 / $57.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.20 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.72 / $25.12