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
$84.57 / $118.34 / $251.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $101.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.96 / $64.48 / $129.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.38 / $129.38 / $131.97
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 / $84.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.11 / $84.57 / $101.72