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Arizona rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $178.60 / $481.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $45.52 / $308.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $41.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $136.21 / $227.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $39.88 / $49.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $40.65 / $45.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $57.49 / $134.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $1,627.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65