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Wyoming rates for HCPCS 80158

Cyclosporine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $18.05 / $124.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $18.05 / $18.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $19.60 / $23.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $28.00 / $58.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $20.65 / $25.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $10.42 / $13.36