go back

Louisiana rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.06 / $57.68 / $1,244.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $41.06 / $49.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $64.33 / $74.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $46.07 / $46.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.08 / $500.08 / $500.08
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $69.31