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Michigan rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.27 / $232.53 / $555.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.87 / $160.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $63.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.25 / $82.87 / $187.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.35 / $43.08 / $55.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $41.20 / $61.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.20 / $65.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.92 / $163.92 / $163.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $50.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.97 / $188.92 / $519.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.87 / $101.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.88 / $61.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $45.53