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Idaho rates for HCPCS Q9956

Injection, octafluoropropane microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $41.20 / $41.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $44.72 / $50.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $40.65 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.39 / $93.39 / $118.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.22 / $50.82 / $65.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $43.09 / $50.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $37.94 / $81.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $48.78 / $50.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $56.91