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New Jersey rates for HCPCS 80195

Sirolimus

Facilitymedian $26 · 10th–90th $14–$1480%10%10th90th$26Professionalmedian $12 · 10th–90th $9–$250%50%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $26.30 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $81.28 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $30.20 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.30 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.92 / $15.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $10,715.19 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.59 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $13.80 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.32 / $19.95