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Minnesota rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $158.47 / $411.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $40.65 / $96.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $63.82 / $109.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $41.20 / $42.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.18 / $132.82 / $161.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $44.38 / $54.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.58 / $117.43 / $145.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.68 / $42.68 / $44.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $76.50 / $191.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $1,627.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $75.37