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HCPCS j0133

Acyclovir 500 mg/10 ml Inj

Reported by 3 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$29

Average

$37

Median

$36

High

$46

Hospitals reporting this code

#HospitalLocation
1MercyOne Genesis DeWitt Medical CenterDeWitt, IA$21$27$29$46$9
2MercyOne Genesis Aledo Medical CenterAledo, IL$28$29$36$63$11
3MercyOne Genesis Silvis Medical CenterSilvis, IL$20$51$46$63$16

Look up this code directly

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