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Missouri rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Facilitymedian $65 · 10th–90th $65–$1000%50%90th$65Professionalmedian $65 · 10th–90th $65–$810%50%90th$65$100.0$200.0$500.0

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
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 / $64.57 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $512.86 / $512.86