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Louisiana rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $23.21 / $126.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $14.55 / $17.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $27.08 / $45.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $15.10 / $23.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $88.20 / $88.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $29.67 / $84.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $9.13 / $19.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $12.36 / $13.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.05 / $34.29