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Indiana rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.73 / $427.61 / $1,163.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.06 / $124.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.07 / $54.07 / $61.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.68 / $81.30 / $121.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.20 / $61.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $41.20 / $60.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $50.81
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 / $83.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $54.30