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Hawaii rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $12.84 / $16.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $13.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $16.48 / $16.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.05 / $26.72 / $32.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $16.48 / $20.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $16.48 / $26.66
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $25.29 / $34.51