| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.14 | $65.14 | $69.20 | |
BCBS
| Facility | $69.20 | $71.92 | $75.98 | |
BCBS
| Professional | $73.28 | $73.28 | $73.28 |
Sirolimus, Protein-Bound,1mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.14 | $65.14 | $69.20 | |
BCBS
| Facility | $69.20 | $71.92 | $75.98 | |
BCBS
| Professional | $73.28 | $73.28 | $73.28 |