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Michigan rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Facilitymedian $65 · 10th–90th $65–$2140%50%90th$65Professionalmedian $68 · 10th–90th $65–$810%50%10th90th$68$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $67.61 / $69.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $81.28 / $251.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $117.49