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Arizona rates for HCPCS 80195

Sirolimus

Facilitymedian $32 · 10th–90th $12–$690%10%10th90th$32Professionalmedian $11 · 10th–90th $8–$910%20%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0

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
$16.22 / $43.65 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $33.88 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.48 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.30 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $12.02 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $15.14