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Pennsylvania 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
$1.08 / $18.14 / $230.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $4.11
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.48 / $15,960.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.60 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.56 / $0.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $4.13 / $7.13
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.47 / $15,324.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $14.12 / $258.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.61 / $4.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.56 / $0.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.02