| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.36 | $39.36 | $39.36 | |
BCBS
| Professional | $63.75 | $75.00 | $75.00 | |
Cigna
| Professional | $21.86 | $21.86 | $36.40 | |
United
| Professional | $28.58 | $71.44 | $71.44 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.36 | $39.36 | $39.36 | |
BCBS
| Professional | $63.75 | $75.00 | $75.00 | |
Cigna
| Professional | $21.86 | $21.86 | $36.40 | |
United
| Professional | $28.58 | $71.44 | $71.44 |