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Indiana rates for HCPCS 80195

Sirolimus

Facilitymedian $16 · 10th–90th $13–$500%20%10th90th$16Professionalmedian $11 · 10th–90th $7–$280%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
$13.49 / $21.38 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $13.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $17.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.80 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.30 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.47 / $16.22