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Wisconsin rates for HCPCS Q9955

Injection, perflexane lipid microspheres, per ml

Facilitymedian $13 · 10th–90th $12–$370%20%40%10th90th$13Professionalmedian $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
$12.02 / $12.02 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.45 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $27.54 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.14 / $17.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $13.80
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.24 / $4.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $23.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $27.54