go back

Missouri 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 $39 · 10th–90th $26–$680%20%10th90th$39Professionalmedian $39 · 10th–90th $39–$680%20%40%90th$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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $28.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $70.79 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $28.84 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $70.79 / $72.44