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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)

Facilitymedian $43 · 10th–90th $28–$650%20%40%10th90th$43Professionalmedian $41 · 10th–90th $39–$490%50%10th90th$41$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $40.74 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $25.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $40.74 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $93.33 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $70.79 / $70.79