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Maryland rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $296.04 / $428.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.06 / $153.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.20 / $41.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $47.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $40.65 / $167.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $61.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.61 / $46.75