go back

West Virginia rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.28 / $237.60 / $315.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $14.80 / $20.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $24.37 / $29.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $22.56 / $24.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.66 / $34.44 / $54.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $25.81 / $115.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.32 / $109.83 / $313.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.48 / $30.48 / $30.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.83 / $28.88