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Georgia rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $24.92 / $177.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $11.95 / $13.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $17.54 / $47.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $6.78 / $26.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $13.73 / $21.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $8.92 / $13.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $30.21 / $42.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $16.93 / $21.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $17.85 / $130.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $11.30 / $28.28