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Alprostadil Urethral Suppository

Wisconsin 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)

Rates data updated October 2026.

How much does Alprostadil Urethral Suppository cost?

$70.79

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $64.57 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$38.02 to $70.79
FacilityA hospital or hospital-owned outpatient department$64.57$39.81 to $77.62

How much rates vary

Facilitymedian $65 · 10th to 90th $39 to $87Professionalmedian $71 · 10th to 90th $26 to $98
$10$20$50$100facility $65professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$87.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$120.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.50
Median
$19.50
Typical High
$60.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$7.94
Typical High
$23.99
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.89
Median
$5.89
Typical High
$18.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.98
Median
$3.98
Typical High
$12.02
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$64.57
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$30.20
Typical High
$33.88
DeanCare
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$39.81
Typical High
$60.26
DeanCare
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Medica
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$39.81
Typical High
$60.26
Medica
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$70.79
Typical High
$97.72
Prevea360
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$39.81
Typical High
$60.26
Prevea360
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Quartz
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$77.62
Typical High
$77.62
Quartz
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Security Health
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$52.48
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$70.79
Typical High
$97.72

Where Wisconsin sits

The same service costs 3.1 times more in Wisconsin than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 1st of 51

$70.79

WI $70.79NY $22.91

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.