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South Dakota rates for HCPCS Q9957

Injection, perflutren lipid microspheres, per ml

Facilitymedian $209 · 10th–90th $43–$8510%10%10th90th$209Professionalmedian $51 · 10th–90th $40–$1620%20%10th90th$51$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$43.65 / $281.84 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $89.13 / $812.83
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $42.66 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $81.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $50.12 / $53.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $45.71
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $40.74