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Arizona rates for HCPCS J9331

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.49 / $151.56 / $253.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $85.42 / $107.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.62 / $235.15 / $421.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.18 / $81.81 / $90.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $84.57 / $84.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $98.77 / $167.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $84.53 / $183.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $89.64