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Iowa rates for HCPCS 80195

Sirolimus

Facilitymedian $31 · 10th–90th $14–$1070%10%10th90th$31Professionalmedian $12 · 10th–90th $9–$910%10%10th90th$12$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
$10.47 / $32.36 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $26.30 / $32.36
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.12 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $17.78 / $42.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $15.14 / $35.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.98 / $17.78
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.48 / $34.67
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $13.80