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Wisconsin rates for HCPCS 80195

Sirolimus

Facilitymedian $31 · 10th–90th $12$930%10%10th90th$31Professionalmedian $13 · 10th–90th $7$580%10%10th90th$13$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$19.05 / $30.90 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $54.95
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $14.45
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $42.66
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $30.20 / $109.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.22 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $38.90
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $22.39 / $38.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $34.67 / $47.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $83.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.91 / $12.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $69.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $69.18 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $12.30 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.96 / $30.90