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Kentucky rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $27.75 / $155.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $11.89 / $12.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $12.36 / $14.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $6.78 / $11.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $16.48 / $19.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $16.61 / $27.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $10.47 / $28.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $15.69 / $87.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.55 / $7.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $11.50 / $22.00