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West Virginia rates for HCPCS Q9957

Injection Perflutren Lipid Microspheres Per Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.08 / $453.44 / $747.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $42.29 / $198.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $41.20 / $61.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $94.26 / $94.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $163.92 / $163.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $97.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.99 / $144.37 / $206.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $186.00