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North Dakota rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $195.03 / $373.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $40.65 / $49.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $44.32 / $44.89
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 / $42.68 / $54.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $69.63 / $118.14
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 / $44.72