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Idaho rates for HCPCS 80195

Sirolimus

Facilitymedian $31 · 10th–90th $14–$1050%10%10th90th$31Professionalmedian $14 · 10th–90th $11–$260%10%20%10th90th$14$10.0$20.0$50.0$100.0

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
$16.60 / $31.62 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $39.81 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $28.84 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.23 / $19.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $20.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $28.18 / $48.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $22.39