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Kansas rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.22 / $95.74 / $371.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $86.26 / $118.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.17 / $128.60 / $180.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.40 / $87.40 / $87.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $84.57 / $138.00
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 / $88.76 / $136.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $94.10 / $518.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $89.64 / $100.64