J3490 — Unclassified drugs

What the market charges

Across 728 negotiated rates, the middle 80% fall between $29 and $85, with a median of $55.

What Medicare pays

Medicare allowed an average of $175 for this code, across 485,201.4 services billed by 2,477 providers. At the median, the market charges less than Medicare pays for this code — 69% less.

Where this is billed, and what it costs there

The states billing J3490 most, by Medicare service volume, each compared against the national average of $175. Each links to the providers Mishe lists there.

  • Washington — 41 providers billed it, Medicare allowed $19 — 89% below the national average
  • California — 268 providers billed it, Medicare allowed $141 — 19% below the national average
  • Florida — 177 providers billed it, Medicare allowed $262 — 50% above the national average
  • New York — 85 providers billed it, Medicare allowed $93 — 47% below the national average
  • Texas — 357 providers billed it, Medicare allowed $647 — 270% above the national average
  • Arizona — 103 providers billed it, Medicare allowed $50 — 71% below the national average
  • Pennsylvania — 93 providers billed it, Medicare allowed $30 — 83% below the national average
  • New Jersey — 90 providers billed it, Medicare allowed $94 — 46% below the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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