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California rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $32.40 / $35.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $13.45 / $13.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.29 / $147.85 / $389.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $127.50 / $239.70
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $14.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $40.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $13.45 / $21.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $16.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $24.64