go back

Iowa rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $192.85 / $450.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.47 / $192.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $50.26 / $64.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $72.56 / $108.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.71 / $82.55 / $192.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $178.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.44 / $54.09 / $87.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $59.51 / $107.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.80 / $71.77 / $72.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $44.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $41.20 / $41.20