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Tennessee rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $20.50 / $273.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $11.69 / $12.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $33.64 / $33.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $15.26 / $18.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $29.93 / $53.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $10.56 / $23.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.99 / $83.93 / $83.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $9.44 / $20.60