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Alprostadil Urethral Suppository

Montana 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.

How much does Alprostadil Urethral Suppository cost?

$41.69

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $27.54 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$40.74 to $70.79
FacilityA hospital or hospital-owned outpatient department$27.54$25.70 to $41.69

How much rates vary

Facilitymedian $28 · 10th to 90th $7 to $60Professionalmedian $42 · 10th to 90th $41 to $79
$10$20$50$100facility $28professional $42

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$33.11
Typical High
$60.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where Montana sits

The same service costs 2.5 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 20th of 51

$41.69

MN $69.18HI $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.