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Washington, DC rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $79.63 / $274.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $60.88 / $137.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.30 / $23.19 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $15.69 / $19.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $27.91 / $27.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $16.48 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.42 / $12.49