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Maryland rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $91.06 / $452.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $10.30 / $12.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $12.66 / $20.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $9.50 / $17.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $14.59 / $47.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $17.16 / $20.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.24 / $12.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $6.87 / $13.48