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Tennessee rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Facilitymedian $117 · 10th–90th $68–$5130%20%40%10th90th$117Professionalmedian $68 · 10th–90th $66–$690%50%10th90th$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $67.61 / $69.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86