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North Carolina rates for HCPCS J0153

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

Facilitymedian $55 · 10th–90th $4–$2290%10%10th90th$55Professionalmedian $35 · 10th–90th $1–$760%20%10th90th$35$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $56.23 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $38.02 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.72 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.72 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.52 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.65 / $0.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.52 / $0.76
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00