go back

Oregon rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.68 / $292.66 / $926.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $47.16 / $316.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $58.88 / $163.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $47.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $95.25 / $119.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $61.35 / $129.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $44.11 / $52.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $46.64 / $121.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $53.34 / $129.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $52.01 / $57.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $46.75