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California rates for HCPCS J1325

Injection, epoprostenol, 0.5 mg

Facilitymedian $20 · 10th–90th $16$420%10%20%10th90th$20Professionalmedian $16 · 10th–90th $15$400%20%40%10th90th$16$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $18.62 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.22 / $45.71
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $20.42 / $26.92
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $20.42 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $15.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.38 / $38.02
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $22.39 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $30.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $41.69