go back

Maine 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 $123 · 10th–90th $115–$1230%50%10th$123Professionalmedian $39 · 10th–90th $26–$500%20%10th90th$39$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
$114.82 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $70.79
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $100.00