Perflutren lipid microspheres ultrasound contrast injection

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR INJ PERFLUTREN LIP MICROS,ML

Payers reporting HCPCS Q9957

Payer pricing summary

Low

Average

$328

Median

$269

High

$1.1k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	284	$187	$264	$685	259%	695–947	$1 – $15.9k
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	497	$66	$120	$259	216%	225–324	$1 – $3.8k
3	Kaiser fee schedule · both · +23 other terms	47	$50	$55	$35	64%	119–128	$41 – $360
4	Medica fee schedule · outpatient · +19 other terms	59	$48	$109	$102	94%	32–149	$16 – $1.2k
5	Anthem fee schedule · outpatient · +26 other terms	106	$56	$79	$83	105%	29–173	$27 – $865
6	Aetna fee schedule · outpatient · +28 other terms	250	$88	$189	$811	429%	13–130	$1 – $14.8k
7	Medcost percent of total billed charges · outpatientfrom % of charges · +8 other terms	28	$331	$592	$362	61%	12–120	$149 – $1.3k
8	Ucare professional · fee schedule · outpatient · +13 other terms	15	$84	$79	$14	17%	5–50	$39 – $88
9	Cigna fee schedule · outpatient · +22 other terms	363	$77	$140	$190	136%	2–20	$1 – $3.1k
10	Optum professional · fee schedule · outpatient · +16 other terms	20	$80	$72	$17	24%	2–20	$39 – $87
11	Caresource fee schedule · outpatient · +17 other terms	53	$71	$258	$190	74%	1–10	$1 – $523
12	Regence professional · fee schedule · outpatient · +17 other terms	22	$46	$45	$2	4%	1–10	$39 – $48
13	Medicare professional · fee schedule · outpatient · +15 other terms	4	$40	$40	$0	1%	1–10	$39 – $41
14	Bcbs Mo professional · other · both · +2 other terms	1	$65	$65	—	—	1–10	$65 – $65
15	Humana fee schedule · outpatient · +24 other terms	186	$62	$172	$234	137%	—	$1 – $2.0k
16	MultiPlan fee schedule · outpatient · +18 other terms	77	$327	$474	$444	94%	—	$1 – $2.1k
17	Molina fee schedule · outpatient · +26 other terms	56	$68	$143	$578	404%	—	$1 – $6.4k
18	Highmark facility · fee schedule · outpatient · +15 other terms	46	$74	$285	$279	98%	—	$40 – $1.2k
19	First Health fee schedule · outpatient · +18 other terms	29	$384	$504	$406	81%	—	$195 – $1.8k
20	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$1.0k	$900	$143	16%	—	$705 – $1.1k
21	Bcbs Tx fee schedule · outpatient · +4 other terms	26	$399	$363	$110	30%	—	$163 – $545
22	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	24	$1.6k	$1.5k	$1.6k	105%	—	$166 – $5.1k
23	Phcs fee schedule · inpatient · +15 other terms	21	$258	$399	$421	105%	—	$150 – $2.2k
24	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	19	$450	$558	$242	43%	—	$334 – $1.1k
25	Ambetter fee schedule · both · +14 other terms	18	$185	$214	$193	90%	—	$44 – $834

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