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Illinois 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 $21 · 10th–90th $9–$760%20%10th90th$21Professionalmedian $10 · 10th–90th $8–$130%20%40%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
$9.77 / $21.38 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $5.01 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $20.42 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $19.50 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $10.96