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Tennessee rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.28 / $210.94 / $693.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.20 / $165.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.50 / $51.50 / $51.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $45.44 / $47.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.92 / $192.85 / $192.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.92 / $1,627.92 / $1,627.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $47.97