go back

Delaware rates for HCPCS J0133

Injection, acyclovir, 5 mg

Facilitymedian $145 · 10th–90th $81$1580%20%40%10th90th$145Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $144.54 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.12 / $0.18