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Perflexane Lipid Microspheres Injection

New York rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Rates data updated July 2026.

How much does Perflexane Lipid Microspheres Injection cost?

$44.67per mL

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $44.67 for each mL of this drug. The price depends on where it is billed: about $44.67 from a physician practice, and about $13.80 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
$44.67
At a hospital outpatient department
$13.80

The same drug, in the same amount, costs 69% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$44.67$44.67 to $151
FacilityA hospital or hospital-owned outpatient department$13.80$12.88 to $23.99

How much rates vary

Facilitymedian $14 · 10th to 90th $13 to $32Professionalmedian $45 · 10th to 90th $13 to $38,019
$10$100$1K$10Kfacility $14professional $45

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
$11.22
Median
$13.80
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.49
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.95
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$14.45
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$38,018.94
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$38,018.94
Univera
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Univera
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80

Where New York 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.

New York· 1st of 51

$44.67

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.