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Alaska rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.04 / $94.76 / $379.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.65 / $46.00 / $52.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $15.69 / $19.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $11.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $54.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.06 / $52.86 / $88.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $30.89 / $30.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $48.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $17.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $27.46 / $41.43