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Minnesota 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 $7 · 10th–90th $2–$110%20%10th90th$7Professionalmedian $7 · 10th–90th $1–$100%20%10th90th$7$0.5$1.0$2.0$5.0$10.0$20.0

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
$12.02 / $12.02 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.51 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.87 / $0.95
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.40 / $2.82
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $3.39 / $16.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $19.95