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New York rates for HCPCS J0153

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

Facilitymedian $17 · 10th–90th $2–$910%5%10th90th$17Professionalmedian $0 · 10th–90th $0–$20%50%90th$0$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$1.66 / $18.62 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.55 / $1.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.63 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $2.40
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.59 / $1.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $1.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $2.04 / $2.19
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.54 / $2.63
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.66
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.58 / $0.68