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Montana 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 $4 · 10th–90th $4–$69,1830%50%10th90th$4Professionalmedian $10 · 10th–90th $4–$130%50%10th90th$10$2.0$20.0$200.0$2.0K$20.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $10.96 / $10.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.07 / $4.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.07 / $4.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $8.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $10.96 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72