go back

Missouri rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.08 / $259.42 / $926.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $48.78 / $308.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.54 / $56.54 / $56.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.06 / $44.31 / $106.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.20 / $51.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $40.65 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $47.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $63.03 / $181.94
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 / $58.58