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Maine rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $31.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $22.39 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $21.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $31.62