Sulfur hexafluoride lipid microsphere injection, per milliliter

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION

Payers reporting HCPCS Q9950

Payer pricing summary

Low

$19

Average

$226

Median

$191

High

$961

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	215	$47	$73	$71	98%	5–50	$0 – $776
2	Bcbs Wy percent of total billed charges · outpatientfrom % of charges	1	$404	$404	$8	2%	3–30	$394 – $417
3	UnitedHealthcare fee schedule · outpatient · +23 other terms	390	$30	$47	$123	261%	1–10	$1 – $2.4k
4	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$142	$142	—	—	1–10	$142 – $142
5	Cigna fee schedule · outpatient · +15 other terms	310	$30	$70	$136	195%	—	$1 – $1.3k
6	Aetna fee schedule · outpatient · +20 other terms	186	$37	$84	$187	222%	—	$1 – $1.0k
7	Humana fee schedule · outpatient · +17 other terms	148	$19	$63	$65	104%	—	$1 – $260
8	Anthem facility · fee schedule · outpatient · +16 other terms	61	$29	$36	$19	53%	—	$18 – $107
9	Caresource fee schedule · outpatient · +11 other terms	48	$32	$182	$201	110%	—	$1 – $435
10	Kaiser fee schedule · both · +13 other terms	41	$22	$22	$6	27%	—	$18 – $31
11	Molina fee schedule · outpatient · +17 other terms	31	$46	$33	$14	44%	—	$1 – $46
12	Regence professional · fee schedule · outpatient · +8 other terms	21	$18	$19	$1	4%	—	$18 – $22
13	Highmark facility · fee schedule · outpatient · +9 other terms	20	$31	$67	$47	69%	—	$19 – $196
14	Bcbs Tx fee schedule · outpatient · +2 other terms	19	$127	$130	$28	22%	—	$50 – $166
15	Healthpartners fee schedule · outpatient · +8 other terms	19	$22	$22	$1	5%	—	$22 – $28
16	Medica fee schedule · outpatient · +12 other terms	19	$40	$51	$42	82%	—	$23 – $188
17	Medcost percent of total billed charges · bothfrom % of charges · +4 other terms	17	$256	$271	$97	36%	—	$176 – $574
18	Ambetter other · outpatient · +9 other terms	14	$428	$557	$228	41%	—	$324 – $917
19	WellCare professional · fee schedule · outpatient · +11 other terms	14	$19	$19	$0	1%	—	$19 – $19
20	Wellmark fee schedule · both · +8 other terms	14	$19	$19	$0	2%	—	$19 – $21
21	Medical Mutual facility · fee schedule · outpatient · +7 other terms	13	$53	$51	$13	26%	—	$25 – $79
22	Bcbs Mn fee schedule · outpatient · +7 other terms	12	$24	$22	$10	46%	—	$1 – $30
23	Bcbs Nj fee schedule · outpatient · +5 other terms	12	$19	$24	$16	66%	—	$19 – $77
24	Beechstreet percent of total billed charges · bothfrom % of charges · +2 other terms	12	$700	$620	$266	43%	—	$255 – $1.3k
25	Oscar facility · fee schedule · outpatient · +10 other terms	12	$23	$22	$2	9%	—	$18 – $23

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