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North Carolina rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $66.42 / $175.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $11.89 / $13.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.53 / $9.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.84 / $57.27 / $57.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $9.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $14.53 / $36.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $10.02 / $19.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $11.98 / $24.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $19.66 / $24.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $9.58 / $18.73
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.09 / $83.93 / $83.93