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Alprostadil Urethral Suppository

Idaho 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)

Rates data updated October 2026.

How much does Alprostadil Urethral Suppository cost?

$42.66

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $41.69 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$25.70 to $70.79
FacilityA hospital or hospital-owned outpatient department$41.69$28.84 to $66.07

How much rates vary

Facilitymedian $42 · 10th to 90th $28 to $93Professionalmedian $43 · 10th to 90th $26 to $71
$0.1$1$10$100facility $42professional $43

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$42.66
Typical High
$42.66
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$34.67
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.84
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Moda Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$42.66
Typical High
$60.26
Moda Health
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$42.66
Typical High
$42.66
Molina
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Select Health
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$93.33
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$70.79
Typical High
$70.79

Where Idaho sits

The same service costs 3.1 times more in Wisconsin than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 15th of 51

$42.66

WI $70.79NY $22.91

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.