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Iowa 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
$39.36 / $49.21 / $138.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $40.84 / $49.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $21.86 / $21.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $33.28 / $33.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $102.63 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.15 / $41.83 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $71.44 / $82.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $40.40 / $41.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $40.40 / $82.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $71.44 / $80.01