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New York 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 / $59.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $40.84 / $41.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $24.17 / $35.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $25.72 / $27.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $25.72 / $25.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.33 / $70.33 / $121.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.51 / $70.33 / $82.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.18 / $27.18 / $27.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $26.49 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $25.72 / $25.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $71.44 / $77.23
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $25.73
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $25.73 / $27.18