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Arizona rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.98 / $30.03 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $11.98 / $88.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $8.92 / $8.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $30.15 / $50.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $11.57 / $16.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $22.30 / $40.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $16.93 / $21.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $11.98 / $83.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.05 / $12.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.05 / $13.73