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Perflutren Lipid Microspheres Injection

New Hampshire rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $40$8320%10%10th90th$178Professionalmedian $40 · 10th–90th $40$480%50%90th$40$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$263.03
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$51.29
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$51.29