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North Dakota rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $9.61 / $24.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $11.98 / $12.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.67 / $27.67 / $30.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $15.85 / $19.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $20.60 / $83.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $16.48 / $23.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $13.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $13.73 / $23.55