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Pennsylvania 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $15.73 / $518.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.48 / $10.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.40 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $30.56 / $34.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $15.73 / $29.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.48 / $20.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $10.27 / $14.18