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Sirolimus Protein-Bound Particles Injection

Michigan rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Rates data updated July 2026.

Facilitymedian $65 · 10th–90th $65$2140%50%90th$65Professionalmedian $65 · 10th–90th $65$1000%50%90th$65$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. Need provider-level prices? Contact us.

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