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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
$19.32 / $235.13 / $915.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $22.49 / $25.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.98 / $22.58 / $58.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $22.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.13 / $235.13 / $915.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.34 / $32.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $31.99