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Washington rates for HCPCS 80195

Sirolimus

Facilitymedian $32 · 10th–90th $14$1860%5%10%10th90th$32Professionalmedian $12 · 10th–90th $8$190%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
$13.80 / $50.12 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $20.42 / $27.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.30 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $30.20 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.45 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $27.54
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $15.14
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $23.99 / $38.02
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $16.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $36.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.30 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.13 / $19.05
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.08 / $24.55