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Oregon rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Facilitymedian $195 · 10th–90th $43–$9770%10%10th90th$195Professionalmedian $83 · 10th–90th $40–$3470%20%10th90th$83$20.0$200.0$2.0K$20.0K$200.0K$2.0M

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
$81.28 / $295.12 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $91.20 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $58.88 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $91.20 / $109.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $407.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $46.77 / $186.21
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $131.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $45.71