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Ohio rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $35.48 / $40.74
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 / $16.60 / $28.84
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 / $15.49
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $64.57
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $16.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $16.22