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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
$13.49 / $33.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $162.18 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $128.82 / $199.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.80 / $23.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $19.50