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Wyoming rates for HCPCS 80195

Sirolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $13.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $11.98 / $13.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.55 / $23.55 / $28.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $21.00 / $44.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.22 / $27.22 / $27.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $15.69 / $19.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.93 / $19.17