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Nebraska rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.71 / $58.36 / $165.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $9.06 / $88.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $20.87 / $22.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $19.62 / $31.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $27.90 / $280.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $35.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $27.97 / $43.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $30.52 / $39.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $5.77 / $8.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $8.24 / $27.46