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Epoprostenol Injection

New York rates for HCPCS J1325 · Veletri

Injection, epoprostenol, 0.5 mg

Rates data updated July 2026.

How much does Epoprostenol Injection cost?

$15.49per 0.5 mg

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $15.49 for each 0.5 mg of this drug. The price depends on where it is billed: about $14.79 from a physician practice, and about $19.95 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$14.79
At a hospital outpatient department
$19.95

The same drug, in the same amount, costs 35% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.79$14.79 to $16.22
FacilityA hospital or hospital-owned outpatient department$19.95$15.49 to $26.30

How much rates vary

Facilitymedian $20 · 10th to 90th $15 to $33Professionalmedian $15 · 10th to 90th $15 to $29
$20$50facility $20professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.98
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$63.10
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$25.12
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$29.51
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.98
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.60
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$18.62
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.98
Typical High
$33.88
Univera
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$18.62
Univera
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.22
Typical High
$19.50

Where New York sits

The same service costs 2.7 times more in Delaware than in Alabama. 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.

New York· 41st of 51

$15.49

DE $39.81AL $14.79

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.