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New Hampshire rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.64 / $132.68 / $713.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $40.65 / $49.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.60 / $60.98 / $81.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $41.20
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 / $40.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $77.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $97.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $167.77 / $257.35