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West Virginia rates for HCPCS J0133

Acyclovir Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $10.76 / $36.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.06 / $0.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.04 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.13