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Sirolimus Protein-Bound Particles Injection

Pennsylvania rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $69$870%50%90th$69Professionalmedian $69 · 10th–90th $69$690%50%$69

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
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$87.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18