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Massachusetts rates for HCPCS J9331

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $114.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $147.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $239.88 / $512.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $134.90 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $239.88 / $512.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $194.98 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $117.49