go back

Utah rates for HCPCS J0275

Alprostadil Urethral Suppos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.84 / $40.84 / $40.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $40.84 / $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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $71.44 / $71.44