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Rhode Island rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.85 / $274.85 / $274.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $88.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.82 / $84.53 / $89.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $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
$84.57 / $84.57 / $94.14