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West Virginia rates for HCPCS 80195

Sirolimus

Facilitymedian $20 · 10th–90th $11–$560%20%40%10th90th$20Professionalmedian $10 · 10th–90th $9–$160%20%40%10th90th$10$5.0$10.0$20.0$50.0$100.0

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
$10.96 / $20.42 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $15.85
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $18.62 / $22.91
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.60 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $26.30 / $87.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $67.61 / $120.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.13 / $19.05