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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $39.81 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $77.62 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $33.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $41.69 / $48.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $70.79 / $70.79