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Washington rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.45 / $69.15 / $600.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $20.45 / $25.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $22.02 / $92.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $20.26 / $34.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $17.54 / $37.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $22.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $23.24 / $55.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $28.30 / $28.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $21.50 / $34.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $18.59 / $36.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59