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Perflexane Lipid Microspheres Injection

Missouri rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Rates data updated July 2026.

How much does Perflexane Lipid Microspheres Injection cost?

$13.18per mL

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $13.18 for each mL of this drug. The price depends on where it is billed: about $13.18 from a physician practice, and about $12.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mL. Enter the amount given to see what insurers have agreed to pay for it.

mL
In a doctor's office or clinic
$13.18
At a hospital outpatient department
$12.88

The same drug, in the same amount, costs 2% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.18$12.88 to $13.80
FacilityA hospital or hospital-owned outpatient department$12.88$12.88 to $19.50

How much rates vary

Facilitymedian $13 · 10th to 90th $13 to $26Professionalmedian $13 · 10th to 90th $13 to $16
$20$50$100facility $13professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.80
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.88
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$15.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$14.13
Typical High
$34.67
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$13.18
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$44.67

Where Missouri sits

The same service costs 3.4 times more in New York than in Maine. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 43rd of 51

$13.18

NY $44.67ME $13.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.