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Alaska rates for HCPCS J0275

Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $48.98 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $47.86 / $66.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.07 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $213.80