Perflexane 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

Inj perflexane lip micros,ml

Payers reporting HCPCS Q9955

Payer pricing summary

Low

Average

$662

Median

$35

High

$17.4k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +7 other terms	174	$25	$41	$30	72%	—	$12 – $113
2	Aetna fee schedule · outpatient · +9 other terms	97	$17	$28	$19	70%	—	$11 – $140
3	Humana fee schedule · outpatient · +7 other terms	69	$46	$73	$44	61%	—	$13 – $129
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	51	$31	$72	$110	153%	—	$0 – $494
5	UnitedHealthcare fee schedule · both · +8 other terms	26	$13	$15	$3	18%	—	$13 – $24
6	Anthem facility · case rate · outpatient · +6 other terms	15	$23	$25	$6	23%	—	$15 – $38
7	Caresource facility · case rate · outpatient · +2 other terms	15	$23	$25	$6	23%	—	$15 – $39
8	Molina facility · case rate · outpatient · +4 other terms	15	$23	$25	$6	23%	—	$16 – $38
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$42	$27	$23	86%	—	$0 – $53
10	Bcbs Nj fee schedule · outpatient	12	$11	$14	$5	37%	—	$9 – $26
11	Optum facility · case rate · outpatient · +1 other terms	11	$21	$23	$5	22%	—	$19 – $35
12	Medica fee schedule · outpatient · +4 other terms	10	$27	$27	$7	25%	—	$16 – $35
13	Ucare fee schedule · both	9	$13	$13	$0	3%	—	$13 – $13
14	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$13	$13	—	—	—	$13 – $13
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$15	$15	—	—	—	$15 – $15
16	First Health facility · fee schedule · outpatient · +2 other terms	4	$41	$41	—	—	—	$41 – $41
17	Bcbs Id facility · fee schedule · outpatient	2	$30	$30	$4	12%	—	$26 – $33
18	Bcbs Vt professional · fee schedule · outpatient	2	$35	$35	$10	29%	—	$14 – $51
19	Highmark fee schedule · outpatient · +1 other terms	2	$107	$84	$58	69%	—	$14 – $144
20	MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms	2	$632	$632	$149	24%	—	$483 – $780
21	Ambetter facility · fee schedule · outpatient · +1 other terms	1	$0	$0	—	—	—	$0 – $0
22	Bcbs Il professional · fee schedule · both	1	$17	$17	—	—	—	$17 – $17
23	Bcbs Nv fee schedule · outpatient · +1 other terms	1	$13	$13	—	—	—	$13 – $13
24	Healthpartners facility · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
25	Kaiser fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28

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