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Kentucky 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 / $39.36 / $83.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $39.36 / $41.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.53 / $4.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $25.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,999.58 / $47,999.52 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,499.57 / $48,999.51 / $50,749.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $25.72 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $25.72 / $25.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $71.44 / $71.44