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Pennsylvania rates for HCPCS J0153

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

Facilitymedian $17 · 10th–90th $1–$1480%5%10%10th90th$17Professionalmedian $2 · 10th–90th $0–$2190%10%10th90th$2$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$1.41 / $18.20 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.66 / $218.78
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.56 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $1.70 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.48
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.83 / $0.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.75 / $6.92
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.79
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.45 / $9.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.60 / $0.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.52 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.98