go back

Louisiana rates for HCPCS J9331

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $131.83 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $87.10 / $117.49