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New Hampshire rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Facilitymedian $95 · 10th–90th $18–$3980%10%20%10th90th$95Professionalmedian $18 · 10th–90th $18–$330%50%90th$18$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $95.50 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $35.48 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $27.54