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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)

Facilitymedian $19 · 10th–90th $10–$410%10%20%10th90th$19Professionalmedian $10 · 10th–90th $9–$100%50%10th90th$10$0.5$5.0$50.0$500.0$5.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $19.05 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $10.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.40 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $38.90 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $16.60
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $14.79