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New Jersey rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Facilitymedian $166 · 10th–90th $51–$7940%5%10%10th90th$166Professionalmedian $45 · 10th–90th $40–$1910%20%40%10th90th$45$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $165.96 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $51.29 / $213.80
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $5,623.41 / $11,748.98
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $47.86 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,309.57 / $6,309.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $41.69 / $45.71