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Texas 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 $1 · 10th–90th $0–$2340%5%10%10th90th$1Professionalmedian $10 · 10th–90th $9–$140%50%10th90th$10$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$9.33 / $19.95 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.46 / $0.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.27 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $25.70 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $12.59 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $12.30 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.78 / $0.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $10.72