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Kansas rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.63 / $351.03 / $799.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $42.72 / $91.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $53.56 / $53.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.81 / $96.62 / $188.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.45 / $61.45 / $61.45
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 / $40.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.02 / $66.33 / $181.94
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 / $58.94