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Oregon 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 $10–$250%20%40%10th90th$10Professionalmedian $10 · 10th–90th $8–$120%20%40%10th90th$10$0.2$1.0$5.0$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
$10.00 / $10.47 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $5.62 / $6.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $10.23 / $24.55
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $7.94 / $10.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.49 / $19.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $10.96 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72