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New Mexico rates for HCPCS 80195

Sirolimus

Facilitymedian $33 · 10th–90th $17–$1170%10%10th90th$33Professionalmedian $12 · 10th–90th $10–$200%20%40%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$16.60 / $33.11 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $87.10 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.22 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $19.50 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $20.89 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $12.30 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $8.51