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Texas rates for HCPCS C9091

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.14 / $66.76 / $66.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.14 / $66.76 / $67.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $507.90 / $507.90