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Nebraska 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 $10 · 10th–90th $1–$280%20%10th90th$10Professionalmedian $10 · 10th–90th $9–$170%50%10th90th$10$0.5$2.0$10.0$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
$9.33 / $17.78 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.76 / $0.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.74 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.93 / $10.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $18.62 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $10.23 / $10.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.78 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.72 / $10.72