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Sirolimus Protein-Bound Particles Injection

Tennessee rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $68Professionalmedian $68 · 10th to 90th $68 to $68
facility $68professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$6.76
Typical High
$6.76