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Virginia rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $37.77 / $460.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.98 / $12.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $66.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $6.78 / $8.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.23 / $63.02 / $94.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $34.25 / $70.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.16 / $15.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $17.16 / $20.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.98 / $12.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $20.76 / $34.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $18.29 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $18.29 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $16.48 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $8.11 / $13.73