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Alprostadil Injection

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)

Rates data updated July 2026.

How much does Alprostadil Injection cost?

$10.96

Typical negotiated rate. In Virginia, 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 $12.02 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 7 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$10.23 to $10.96
FacilityA hospital or hospital-owned outpatient department$12.02$10.96 to $21.88

How much rates vary

Facilitymedian $12 · 10th to 90th $2 to $29Professionalmedian $11 · 10th to 90th $10 to $13
$1$2$5$10$20facility $12professional $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
$12.02
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.96
Typical High
$11.22
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$21.88
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$2.29
Typical High
$3.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$10.72
Typical High
$15.85
Sentara
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.96
Typical High
$15.85
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.96
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$1.02
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.72
Typical High
$10.72

Where Virginia 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.

Virginia· 20th 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.