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New Jersey rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $20.71 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $11.89 / $16.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $9.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $30.31 / $62.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $11.24 / $19.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $8.10 / $10.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $9.61 / $13.19
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 / $8.24 / $20.35