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South Dakota rates for HCPCS J0153

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

Facilitymedian $48 · 10th–90th $1–$1660%10%10th90th$48Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.5$2.0$10.0$50.0

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
$38.02 / $83.18 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $6.03 / $6.03
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.39 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.78 / $2.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.46 / $0.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $0.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.52 / $0.58
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.56