| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $69.20 | $69.20 | |
Aetna
| Professional | $56.18 | $67.58 | $69.20 | |
Horizon BCBS
| Facility | $67.58 | $13,785.00 | $13,785.00 |
Injection, sirolimus protein-bound particles, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $69.20 | $69.20 | |
Aetna
| Professional | $56.18 | $67.58 | $69.20 | |
Horizon BCBS
| Facility | $67.58 | $13,785.00 | $13,785.00 |