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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)

Facilitymedian $26 · 10th–90th $26–$490%50%90th$26Professionalmedian $40 · 10th–90th $33–$490%20%40%10th90th$40$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $48.98 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $39.81 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $28.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $61.66
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $38.90 / $48.98
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $42.66 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $70.79 / $81.28