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Nebraska rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $129.22 / $800.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $83.22 / $251.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.29 / $85.29 / $85.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.42 / $46.02 / $186.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $46.02 / $46.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.00 / $59.00 / $59.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $50.26 / $74.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $94.44 / $192.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $186.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.43 / $50.26 / $87.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $61.09 / $107.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.04 / $60.17 / $82.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $40.65 / $154.47