Home › Drug Codes › J Codes › J2785 · LEXISCAN
Updated July 1st, 2026

LEXISCAN J Code: J2785

Injection, regadenoson, 0.1 mg

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Q4 2026 Medicare Payment Limit for J2785, effective October 1, 2026: $2.507 per HCPCS billing unit, down 10.1% from $2.79. From CMS's final file.

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Medicare Payment Limit ?
$2.79
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
14
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Drug & Product Overview

HCPCS Descriptor Injection, regadenoson, 0.1 mg
HCPCS Added Date January 1, 2009
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About LEXISCAN

Lexiscan is a medication aligned to the HCPCS J Code: J2785 for billing, pricing, and reimbursement purposes in the United States. It is an Imaging/Radiopharmaceutical drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Drug uses not available

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 14 NDCs — log in for the full crosswalk.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00409-1401-01 Regadenoson Hospira, Inc. 40 0.4 MG / 5 ML
00469-6501-89 Lexiscan Astellas Pharma US, Inc. 4 0.4 MG / 5 ML
00641-6253-01 Regadenoson Hikma Pharmaceuticals USA Inc. 4 0.4 MG / 5 ML
16729-0477-31 Regadenoson Accord Healthcare Inc. 4 0.4 MG / 5 ML
36000-0364-01 regadenoson Baxter Healthcare Corporation 4 0.4 MG / 5 ML
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LEXISCAN
LEXISCAN
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LEXISCAN Pricing & Reimbursement

J2785 Private Payer Reimbursement
$2.60 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

LEXISCAN CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug
JW / JZ modifiers apply

CMS has identified Lexiscan (J2785) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

LEXISCAN Medically Unlikely Edits (MUE)

The most billing units of J2785 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.

Practitioner Office & Hospital Outpatient
4 units / day
= 0.4 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

LEXISCAN Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Radionuclide Myocardial Perfusion Imaging Radionuclide myocardial perfusion imaging (MPI) radionuclide myocardial perfusion imaging (MPI)
Drug Class
Adenosine Receptor Agonist [EPC]Adenosine Receptor Agonists [MoA]Pharmacologic Cardiac Stress Test Agent [EPC]

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Frequently Asked Questions

Is there an available Lexiscan billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for LEXISCAN.
Are there any available Lexiscan patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for LEXISCAN.
Where can I find Lexiscan prescribing information?
LEXISCAN prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Lexiscan side effect information?
Our team has not yet identified a source of side effects information for LEXISCAN. Please check back in a few weeks.
Does billing LEXISCAN require JZ/JW wastage modifiers?
CMS has identified LEXISCAN(J2785) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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