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Aug 13th, 2018 - Jaywalkz

Reimbursement Question for J2785 - Injection, regadenoson, 0.1 mg

Hello, The provider billed for 4 units. Is reimbursement as simple as 4 x AWP unit price? What is each unit billed equal to? Thank you.

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Sep 17th, 2018 - ChrisW   95  1 

re: Reimbursement Question for J2785 - Injection, regadenoson, 0.1 mg

This is a packaged product, therefore there is no additional reimbursement. That being said you still need to report it. You need to look at the NDC # and the packaging - is it packaged as one unit dosing? For one unit, if 0.4 mg was given you would bill J2785 X 4.

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