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Missouri rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.80 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $14.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $14.45 / $34.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.18 / $15.85