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South Carolina rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.24 / $213.64 / $320.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $47.63 / $314.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $72.76 / $72.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.04 / $82.94 / $264.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $100.67 / $133.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $38.35 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.69 / $64.98 / $141.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.83 / $169.83 / $169.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.44 / $54.44 / $54.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65