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West Virginia rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.16 / $56.70 / $56.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.12 / $11.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $18.54 / $22.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $17.16 / $18.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $28.45 / $41.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $19.62 / $87.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $56.40 / $90.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.24 / $21.97