Octafluoropropane 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

PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP

Payers reporting HCPCS Q9956

Payer pricing summary

Low

$42

Average

$230

Median

$188

High

$954

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	406	$66	$93	$177	191%	4–40	$19 – $4.1k
2	Medica fee schedule · outpatient · +15 other terms	53	$78	$90	$40	44%	2–20	$52 – $566
3	Aetna fee schedule · outpatient · +23 other terms	202	$81	$141	$361	257%	1–10	$19 – $5.8k
4	Humana fee schedule · outpatient · +17 other terms	167	$44	$159	$432	271%	1–10	$19 – $5.8k
5	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$172	$172	—	—	1–10	$172 – $172
6	Cigna fee schedule · outpatient · +17 other terms	287	$77	$161	$430	267%	—	$32 – $6.1k
7	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	208	$97	$137	$103	76%	—	$1 – $1.3k
8	Anthem facility · fee schedule · outpatient · +21 other terms	63	$64	$70	$41	59%	—	$0 – $224
9	Caresource fee schedule · outpatient · +8 other terms	49	$70	$204	$186	91%	—	$42 – $435
10	Kaiser fee schedule · both · +15 other terms	46	$50	$51	$14	27%	—	$34 – $105
11	Molina fee schedule · outpatient · +14 other terms	29	$102	$75	$36	47%	—	$15 – $121
12	Bcbs Tx fee schedule · outpatient · +3 other terms	27	$207	$194	$57	30%	—	$75 – $319
13	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$409	$301	$140	47%	—	$27 – $442
14	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	25	$86	$84	$47	56%	—	$7 – $196
15	Highmark facility · fee schedule · outpatient · +12 other terms	24	$45	$166	$162	98%	—	$41 – $636
16	MultiPlan fee schedule · inpatient · +14 other terms	24	$172	$469	$617	132%	—	$96 – $2.0k
17	Regence professional · fee schedule · outpatient · +7 other terms	21	$31	$32	$4	13%	—	$31 – $48
18	Beechstreet percent of total billed charges · bothfrom % of charges · +3 other terms	19	$445	$514	$358	70%	—	$83 – $986
19	Optum professional · fee schedule · outpatient · +13 other terms	19	$40	$41	$1	3%	—	$40 – $44
20	Healthpartners fee schedule · outpatient · +11 other terms	18	$50	$50	$1	2%	—	$49 – $51
21	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +6 other terms	17	$87	$102	$44	43%	—	$87 – $252
22	Oscar facility · fee schedule · outpatient · +10 other terms	15	$51	$49	$5	9%	—	$40 – $53
23	Phcs fee schedule · inpatient · +10 other terms	15	$225	$479	$729	152%	—	$160 – $2.3k
24	Bcbs La fee schedule · outpatient · +1 other terms	14	$45	$43	$4	10%	—	$34 – $46
25	Ucare professional · fee schedule · outpatient · +10 other terms	14	$42	$42	$2	4%	—	$40 – $44

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