go back

Oklahoma rates for HCPCS J9331

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.76 / $91.29 / $128.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $86.26 / $102.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $49.06 / $77.76
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $95.74 / $135.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $89.60 / $282.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $103.68