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Michigan 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
$0.56 / $13.39 / $433.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.56 / $0.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.27 / $2.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.26 / $0.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $7.68 / $84.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.56 / $0.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.52 / $0.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.59