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Alaska rates for HCPCS Q9956

Injection Octafluoropropance Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $268.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.85 / $75.61 / $110.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $41.20 / $108.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $73.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.80 / $78.62 / $123.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.16 / $61.78 / $67.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $75.61 / $112.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $49.51 / $61.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.68 / $60.98 / $82.00