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Minnesota rates for HCPCS J0133

Injection, acyclovir, 5 mg

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

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
$1.00 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $0.10 / $0.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.12 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.07 / $0.12 / $0.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.13 / $0.14
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.11 / $0.30 / $0.42
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.06 / $0.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.12 / $0.17