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Washington, DC rates for HCPCS J0133

Injection, acyclovir, 5 mg

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.19