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Maine rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $13.77 / $16.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $13.28 / $99,999.99
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $13.77 / $16.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $23.19