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Kansas 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 $42 · 10th–90th $34–$790%20%40%10th90th$42Professionalmedian $66 · 10th–90th $39–$660%20%40%10th$66$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$38.90 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $77.62 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $26.92
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $41.69 / $58.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $70.79 / $70.79