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South Dakota rates for HCPCS 80195

Sirolimus

Facilitymedian $69 · 10th–90th $12–$870%20%10th90th$69Professionalmedian $12 · 10th–90th $9–$330%20%10th90th$12$10.0$20.0$50.0$100.0$200.0

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
$12.02 / $81.28 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $12.02
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $20.42
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.30 / $32.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $20.89 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.55 / $19.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $12.30 / $19.05
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80