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Idaho rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $41.25 / $179.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $26.77 / $26.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $14.54 / $53.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $15.69 / $19.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $25.74 / $28.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $16.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.60 / $30.89 / $50.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $23.86 / $24.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.17 / $22.61