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Kansas rates for HCPCS J0133

Injection, acyclovir, 5 mg

Facilitymedian $28 · 10th–90th $0$2190%20%10th90th$28Professionalmedian $0 · 10th–90th $0$00%20%40%10th90th$0$0.0$0.1$0.5$2.0$10.0$50.0$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
$28.18 / $66.07 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.07 / $0.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.13 / $0.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.05 / $0.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.12 / $0.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.12 / $0.13