go back

Washington rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $39.54 / $181.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $12.25 / $13.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $9.53 / $9.53
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.42 / $27.46 / $83.93
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $12.91 / $23.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $28.10 / $46.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $17.89 / $27.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.25 / $14.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $15.10 / $37.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $20.60 / $37.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $12.36 / $12.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $22.65 / $37.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $13.73 / $36.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $16.48 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $15.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.18 / $7.11