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Alprostadil Urethral Suppository

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)

Rates data updated October 2026.

How much does Alprostadil Urethral Suppository cost?

$41.69

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $41.69 for this service. Most negotiated rates run $41.69 to $70.79.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32 · 10th to 90th $26 to $65Professionalmedian $42 · 10th to 90th $26 to $107
$50$100facility $32professional $42

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$25.70
Median
$32.36
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$70.79
Typical High
$107.15

Where West Virginia 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.

West Virginia· 21st of 51

$41.69

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.