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Nebraska rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $31.14 / $35.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $12.96 / $12.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $15.00 / $186.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $15.00 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $16.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $13.45 / $23.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $16.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $45.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.59 / $44.57 / $44.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.70 / $473.81 / $512.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $13.25 / $16.20