go back

Michigan rates for HCPCS 80195

Sirolimus

Facilitymedian $13 · 10th–90th $12–$240%20%40%10th90th$13Professionalmedian $12 · 10th–90th $10–$200%20%10th90th$12$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
$12.30 / $13.18 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $20.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $15.49 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.14 / $19.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $23.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.60 / $25.70
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $11.22 / $16.22