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Sirolimus Protein-Bound Particles Injection

Indiana rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $65Professionalmedian $65 · 10th to 90th $65 to $65
facility $65professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.46
Median
$6.46
Typical High
$6.46