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Alaska rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.95 / $370.12 / $827.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $45.16 / $96.05
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 / $269.99 / $424.27
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.85 / $212.14 / $231.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $75.61 / $385.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $49.60 / $73.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.68 / $60.98 / $82.00