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Georgia rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.63 / $418.87 / $886.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $42.69 / $165.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.88 / $54.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $44.11 / $44.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.45 / $39.53 / $41.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $40.65 / $70.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $94.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $38.35 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $51.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $49.93 / $213.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.21 / $50.53 / $75.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $149.02