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Illinois rates for HCPCS 80195

Sirolimus

Facilitymedian $32 · 10th–90th $14–$1580%5%10th90th$32Professionalmedian $11 · 10th–90th $3–$290%20%10th90th$11$5.0$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
$14.13 / $31.62 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $20.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $37.15 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $9.55 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $31.62 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $15.85 / $24.55
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $37.15 / $275.42
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $9.33 / $16.60