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Tennessee rates for HCPCS J9331

Injection, sirolimus protein-bound particles, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $109.89 / $184.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $84.57 / $104.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.52 / $95.69 / $127.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $117.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.49 / $156.47 / $588.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.54 / $518.54 / $518.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $84.57 / $94.14