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Rhode Island rates for HCPCS C9091

Sirolimus, Protein-Bound,1mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $65.14 / $69.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.20 / $71.92 / $75.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.28 / $73.28 / $73.28