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Virginia 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 $22 · 10th–90th $10–$6460%20%10th90th$22Professionalmedian $10 · 10th–90th $9–$110%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
$10.00 / $22.39 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $21.88 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $2.29 / $3.47
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $10.72 / $15.85
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $15.85
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.78 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $11.22