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Michigan rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $13.04 / $22.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $12.46 / $13.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $15.53 / $27.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $10.30 / $13.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $13.73 / $37.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $8.92 / $13.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.69 / $19.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $13.04 / $23.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $16.47 / $19.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.37 / $15.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $12.36 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $11.30 / $13.73