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Kentucky 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 $5 · 10th–90th $4–$200%50%10th90th$5Professionalmedian $10 · 10th–90th $8–$120%20%40%10th90th$10$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$8.91 / $9.77 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.57 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $7.59
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.95 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $54.95 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72