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West Virginia 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
$40.74 / $40.74 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $40.74 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.70 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $70.79 / $70.79