go back

Pennsylvania rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $52.40 / $274.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.78 / $63.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.13 / $33.09 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $33.09 / $33.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $18.59 / $18.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.33 / $32.40 / $77.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $85.26 / $274.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $19.34 / $56.51
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $18.59 / $18.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.38 / $18.38 / $21.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $18.38 / $21.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $32.04