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Pennsylvania rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Facilitymedian $25 · 10th–90th $14–$400%20%10th90th$25Professionalmedian $13 · 10th–90th $12–$160%50%10th90th$13$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $32.36 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.49 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $46.77 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $18.62
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $20.89 / $20.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $38,018.94