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Alaska rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.80 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.80 / $26.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.95 / $33.88