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New Mexico 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 $51 · 10th–90th $26–$930%20%40%10th90th$51Professionalmedian $40 · 10th–90th $39–$710%20%40%10th90th$40$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $47.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $51.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
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
$70.79 / $70.79 / $70.79