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Indiana rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $12.96 / $58.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $12.96 / $13.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $26.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $13.91 / $19.75
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 / $13.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $16.20