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Oklahoma rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $18.87 / $32.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $11.98 / $12.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.00 / $41.63 / $60.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.04 / $13.04 / $13.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $9.60 / $20.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $13.78 / $19.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $83.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.85 / $17.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $13.73 / $84.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.07 / $13.73