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Georgia rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $84.57 / $275.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $84.57 / $102.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $135.31 / $310.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $86.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $165.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $79.78 / $84.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $107.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.45 / $152.69 / $496.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $135.32 / $174.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $103.52