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Arizona 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
$52.48 / $87.10 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $134.90 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $26.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $41.69 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $28.84 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79