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Illinois rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.31 / $251.06 / $990.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $42.29 / $239.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.03 / $197.50 / $639.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $47.41 / $52.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $53.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $84.29 / $259.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $52.85 / $52.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.88 / $58.63 / $62.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $54.35