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New York rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $26.19 / $55.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $11.98 / $13.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $35.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $8.30 / $31.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $13.73 / $13.73
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $13.73 / $13.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $28.45 / $140.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $15.34 / $87.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $22.65 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $8.24 / $25.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $10.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $13.19 / $16.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $37.19 / $61.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $33.20 / $184.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.87 / $18.87 / $28.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $12.36 / $13.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.24 / $24.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $15.79 / $41.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $14.38 / $18.21