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Ohio 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 $23 · 10th–90th $9$3800%10%10th90th$23Professionalmedian $10 · 10th–90th $1$130%20%10th90th$10$0.1$0.5$2.0$10.0$50.0$200.0

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 / $24.55 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $23.44 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.83 / $10.72
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $27.54 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.30 / $0.34
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.85 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $11.48