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Montana rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Facilitymedian $79 · 10th–90th $47$7940%20%10th90th$79Professionalmedian $78 · 10th–90th $40$2000%20%40%10th90th$78$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $489.78 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $79.43 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $50.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $81.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $109.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $52.48 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $45.71