| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $40.74 | $67.61 | |
Cigna
| Professional | $21.88 | $25.70 | $25.70 | |
United
| Facility | $0.71 | $35.48 | $67.61 | |
United
| Professional | $57.54 | $70.79 | $70.79 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $40.74 | $67.61 | |
Cigna
| Professional | $21.88 | $25.70 | $25.70 | |
United
| Facility | $0.71 | $35.48 | $67.61 | |
United
| Professional | $57.54 | $70.79 | $70.79 |