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Alprostadil Injection

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)

Rates data updated July 2026.

How much does Alprostadil Injection cost?

$10.96

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $16.60 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.96$10.96 to $10.96
FacilityA hospital or hospital-owned outpatient department$16.60$10.96 to $28.18

How much rates vary

Facilitymedian $17 · 10th to 90th $4 to $32Professionalmedian $11 · 10th to 90th $11 to $11
$1$10$100$1Kfacility $17professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$0.40
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$0.40
Median
$0.40
Typical High
$0.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$38.90
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$32.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.96
Typical High
$28.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$0.98
Typical High
$2.00
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.72
Typical High
$14.79

Where Pennsylvania sits

The same service costs 4.0 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 18th of 51

$10.96

CO $18.20KY $4.57

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.