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Connecticut 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
$41.83 / $62.82 / $137.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $41.83 / $41.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.29 / $23.14 / $28.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.72 / $25.72 / $25.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $25.72 / $25.72
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.42 / $66.42 / $66.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $66.42 / $70.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $71.44 / $78.58