go back

New Jersey rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.68 / $188.06 / $873.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $51.21
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.50 / $1,992.79 / $3,770.36
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.25 / $123.25 / $123.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $53.60 / $69.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $41.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.19 / $44.10 / $44.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.75 / $43.46 / $49.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $49.81