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Rhode Island rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.65 / $52.65 / $52.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $13.77 / $13.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $23.13 / $36.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $16.20 / $16.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $16.20