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Oklahoma rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.34 / $96.15 / $919.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $43.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $38.35 / $192.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.50 / $48.41 / $181.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $41.20 / $1,627.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $43.56