go back

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.

Facilitymedian $28 · 10th–90th $7$600%20%10th90th$28Professionalmedian $42 · 10th–90th $41$790%50%10th90th$42$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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