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North Dakota 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.36 / $39.36 / $88.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $49.21 / $49.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $26.89 / $33.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.36 / $42.32 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $71.44 / $78.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $71.44 / $80.01