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South Carolina 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 $28 · 10th–90th $10–$2400%20%10th90th$28Professionalmedian $10 · 10th–90th $9–$110%50%10th90th$10$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
$10.00 / $40.74 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $10.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.43 / $0.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $12.02 / $13.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.33 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $11.75