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Massachusetts rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.01 / $283.42 / $1,176.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $42.28 / $316.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.61 / $134.66 / $192.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $43.90 / $1,627.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.51 / $49.92 / $96.99
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 / $40.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.37 / $81.30 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $42.68
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.07 / $624.07 / $624.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.36 / $86.92 / $99.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.92 / $192.85 / $192.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $1,627.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $158.10