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Delaware rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $15.79 / $280.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $11.40 / $11.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $8.92 / $8.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $15.69 / $25.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $33.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.24 / $19.17