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Wisconsin 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 $10 · 10th–90th $0–$150%50%10th90th$10Professionalmedian $10 · 10th–90th $4–$120%20%40%10th90th$10$0.1$0.5$2.0$10.0$50.0

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
$8.91 / $9.77 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $2.04 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $3.98 / $10.96
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $2.57 / $12.30
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $2.57 / $12.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $13.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $0.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $5.50 / $8.13
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $7.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.47 / $1.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $14.79