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Wisconsin rates for HCPCS Q9950

Injection, sulfur hexafluoride lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $41.69 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $22.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $38.90 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $22.91 / $33.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $40.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $40.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.50 / $56.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $93.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $28.84