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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 July 2026.

Facilitymedian $40 · 10th–90th $29$870%20%10th90th$40Professionalmedian $40 · 10th–90th $30$710%50%10th90th$40$0.1$0.5$2.0$10.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.20
Typical High
$33.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$60.26
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$58.88
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$89.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$60.26
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Quartz
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$26.92
Security Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$28.84
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$85.11