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Delaware 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
Professional
Modifier
Low / Median / High Price
$39.81 / $40.74 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $35.48 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $70.79 / $70.79