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Nebraska rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86