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Wyoming rates for HCPCS J0133

Injection, acyclovir, 5 mg

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12