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Louisiana 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 / $22.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $16.20 / $16.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.74 / $13.77 / $16.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $15.70
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $17.82