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Kansas rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $16.20 / $16.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $12.96 / $16.20
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 / $13.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $14.90 / $24.11
Medica
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 / $15.90