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Sirolimus Protein-Bound Particles Injection

Tennessee rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Rates data updated July 2026.

Facilitymedian $117 · 10th–90th $68$5130%20%10th90th$117Professionalmedian $68 · 10th–90th $66$680%50%100%10th$68$100.0$200.0$500.0

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
$67.61
Median
$67.61
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$67.61
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86