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Minnesota rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $12.91 / $273.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $11.98 / $13.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $42.25 / $95.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $13.73 / $13.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.69 / $50.17 / $120.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.93 / $26.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $45.86 / $95.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $15.69 / $24.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $30.28 / $94.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $13.73 / $264.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $16.48 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $12.36 / $29.13