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New Mexico rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $446.88 / $552.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $42.29 / $55.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $48.58 / $49.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.36 / $68.26 / $89.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $55.31 / $76.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $53.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65