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Alprostadil Urethral Suppository

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)

Rates data updated July 2026.

Facilitymedian $78 · 10th–90th $40$1230%20%10th90th$78Professionalmedian $40 · 10th–90th $27$710%50%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
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$26.92
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$109.65
Typical High
$123.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.90
Typical High
$40.74
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$28.84
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$75.86