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Massachusetts rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $13.77 / $13.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $13.77 / $15.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.55 / $56.11 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $19.88
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $19.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $17.75