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Oregon 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
$49.21 / $49.21 / $98.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $40.84 / $49.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.44 / $51.44 / $51.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $27.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.21 / $56.42 / $66.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.04 / $28.12 / $17,728.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.72 / $25.72 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $51.44 / $66.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $40.36 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.72 / $71.44 / $82.16