go back

Perflexane Lipid Microspheres Injection

Virginia rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Rates data updated July 2026.

How much does Perflexane Lipid Microspheres Injection cost?

$13.49per mL

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $13.49 for each mL of this drug. The price depends on where it is billed: about $13.49 from a physician practice, and about $15.14 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
$13.49
At a hospital outpatient department
$15.14

The same drug, in the same amount, costs 12% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$13.49$13.18 to $13.80
FacilityA hospital or hospital-owned outpatient department$15.14$13.80 to $27.54

How much rates vary

Facilitymedian $15 · 10th to 90th $13 to $33Professionalmedian $13 · 10th to 90th $13 to $17
$20$50$100facility $15professional $13

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
$13.80
Median
$27.54
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$13.80
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$22.39
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$26.30
Typical High
$33.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$44.67

Where Virginia 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.

Virginia· 35th of 51

$13.49

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.