| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $64.57 | $64.57 | $81.28 | |
Medica
| Facility | $512.86 | $512.86 | $512.86 |
Injection, sirolimus protein-bound particles, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $64.57 | $64.57 | $81.28 | |
Medica
| Facility | $512.86 | $512.86 | $512.86 |