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Ohio rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $183.52 / $281.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $84.57 / $107.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.34 / $145.04 / $241.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $94.71 / $142.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $126.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $114.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $84.57 / $117.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $119.68
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $117.45 / $117.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $119.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $107.35 / $147.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.41 / $84.57 / $100.64