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Maine rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.94 / $580.72 / $763.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $42.28 / $112.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.69 / $125.69 / $125.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $44.71
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
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.85 / $192.85 / $192.85
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.91 / $567.80 / $861.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $45.16 / $112.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $58.94