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Georgia rates for HCPCS J0270

Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Facilitymedian $12 · 10th–90th $10$6920%20%40%10th90th$12Professionalmedian $10 · 10th–90th $0$120%50%10th90th$10$0.2$1.0$5.0$20.0$100.0$500.0

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
$10.00 / $10.23 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $11.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $53.70 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.30 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.91 / $1.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $10.72 / $10.72