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Michigan 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 $110 · 10th–90th $39–$1230%20%40%10th90th$110Professionalmedian $40 · 10th–90th $33–$690%20%40%10th90th$40$0.1$0.5$2.0$10.0$50.0$200.0

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
$39.81 / $109.65 / $123.03
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
$72.44 / $147.91 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $26.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $74.13 / $123.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $40.74
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $25.70
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $28.84 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $70.79 / $72.44