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Missouri rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $18.47 / $118.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $11.95 / $13.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $14.42 / $63.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $11.32 / $36.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.18 / $28.78 / $75.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $14.05 / $20.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $23.10 / $83.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $9.59 / $16.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $12.36 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $11.21 / $19.17