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Virginia rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.24 / $233.01 / $1,257.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.20 / $90.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $54.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $41.20 / $57.17
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $40.65 / $167.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $56.88 / $86.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $87.00 / $127.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $48.78 / $183.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $48.78 / $183.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $62.09