go back

Illinois rates for HCPCS C9091

Sirolimus, Protein-Bound,1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.14 / $65.14 / $65.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $65.14 / $69.20