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Montana rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.66 / $376.20 / $747.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.27 / $22.49 / $63.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $21.37 / $54.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $21.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.37 / $21.37 / $54.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $20.17 / $26.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59