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Georgia rates for HCPCS J0133

Injection, acyclovir, 5 mg

Facilitymedian $74 · 10th–90th $0–$8910%10%10th90th$74Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.0$0.2$2.0$20.0$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
$19.95 / $91.20 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.10 / $0.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.04 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.52 / $0.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.08 / $0.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.12 / $0.14