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Oklahoma 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
$39.86 / $39.86 / $79.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $39.86 / $40.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $21.86 / $25.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $25.72 / $26.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $41.83 / $60.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $71.44 / $71.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.44 / $71.44 / $71.44