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Minnesota rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.42 / $81.42 / $81.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $67.58 / $81.42