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California rates for HCPCS J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $56.25 / $290.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $4.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.59 / $0.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.56 / $2.46
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.89 / $2.68
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.67 / $1.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.56 / $0.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.21
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.61 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.38