Price of ACYCLOVIR SODIUM IV 50 MG/ML at NYU Langone
Last Updated: 2024-07-01
Locations
Expand
NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About ACYCLOVIR SODIUM IV 50 MG/ML
Service Codes: LOCAL 5010003, HCPCS J0133
This intravenous solution is used to treat viral infections, particularly those caused by the herpes virus, including shingles and genital herpes. It works by inhibiting the growth of the virus, helping to reduce symptoms and speed up recovery.
Pricing Overview
Cash Price
$0.14
Median Price
$0.22
Price Range
$0.08 - $0.55
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| EmblemHealth | Select Care HMO | $0.22 |
| Cigna | Premier Plus | $0.24 |
| EmblemHealth | Select Care Healthcare Partners | $0.22 |
| MultiPlan | Kaiser Permanente | $0.55 |
| EmblemHealth | HIP Optum Health | $0.22 |
| Aetna | POS | $0.23 |
| MultiPlan | Diversified Admin Corp | $0.55 |
| EmblemHealth | HIP | $0.22 |
| Cigna | Evernorth Behavioral Health | $0.24 |
| MagnaCare | JIB Members | $0.18 |
| MultiPlan | US Life Insurance Co | $0.55 |
| UnitedHealthcare - Oxford | Metro | $0.08 |
| Aetna | Chesterfield Resources ASA PPO | $0.23 |
| EmblemHealth | Essential Plan 1, 200-250 | $0.22 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $0.22 |
| EmblemHealth | Select Care EPO | $0.22 |
| EmblemHealth | GHI EPO | $0.30 |
| EmblemHealth | GHI Medicare PPO | $0.30 |
| EmblemHealth | GHI Medicare Supplement | $0.30 |
| EmblemHealth | Select Care Platinum Small Group | $0.22 |
| MultiPlan | Healthnet of California | $0.55 |
| EmblemHealth | HIP Child Health Plus | $0.22 |
| EmblemHealth | CMO Essential Plan 1 | $0.22 |
| MultiPlan | PHCS | $0.55 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $0.22 |
| EmblemHealth | HIP compre health | $0.22 |
| EmblemHealth | Select Care Gold Small Group | $0.22 |
| MultiPlan | Teamsters Allied Benefits | $0.55 |
| Aetna | Open Access HMO | $0.23 |
| MultiPlan | Humana Health Plan | $0.55 |
| Cigna | MVP-Cigna Network | $0.24 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $0.24 |
| EmblemHealth | HIP Prime Basic | $0.22 |
| MultiPlan | QualCare Inc | $0.55 |
| EmblemHealth | HIP Access I | $0.22 |
| Aetna | Wellnet ASA PPO | $0.23 |
| EmblemHealth | WLNY-TV | $0.30 |
| EmblemHealth | GHI Medicare HMO | $0.30 |
| UnitedHealthcare | Golden Rule Insurance | $0.08 |
| MultiPlan | Nippon Life | $0.55 |
| MultiPlan | Paramount Insurance | $0.55 |
| Cigna | PPO | $0.24 |
| MagnaCare | Direct Plus | $0.18 |
| Aetna | HMO | $0.23 |
| Aetna | Open Access Elect Choice EPO | $0.23 |
| MultiPlan | Guardian Life Insurance Co | $0.55 |
| MultiPlan | Global Health Management | $0.55 |
| UnitedHealthcare | POMCO (UMR) | $0.08 |
| EmblemHealth | HIP VIP Medicare Affinity | $0.22 |
| MagnaCare | Independent Care Plus | $0.18 |
| First Health | PPO | $0.55 |
| UnitedHealthcare | Independent | $0.08 |
| EmblemHealth | HIP Montefiore | $0.22 |
| GEHA | All Plans | $0.23 |
| Humana | All Commercial Plans | $0.55 |
| UnitedHealthcare | PPO | $0.08 |
| MultiPlan | Global Excel Management | $0.55 |
| MetroPlus | Medicaid Managed Care | $0.10 |
| MetroPlus | GoldCare 2 | $0.15 |
| EmblemHealth | Select Care Gold Exchange | $0.22 |
| MagnaCare | PPO | $0.18 |
| MagnaCare | Capital District Physicians Health Plan | $0.18 |
| EmblemHealth | HIP EPO | $0.22 |
| Aetna | PPO | $0.23 |
| MetroPlus | MedPlus | $0.24 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $0.22 |
| MagnaCare | National Health Plan | $0.18 |
| UnitedHealthcare | Optum Health | $0.08 |
| MagnaCare | Direct Plus Preferred | $0.18 |
| EmblemHealth | HIP HMO | $0.22 |
| UnitedHealthcare | Student Resources | $0.08 |
| MultiPlan | Mutual of Omaha | $0.55 |
| EmblemHealth | GHI Behavioral Management Program | $0.30 |
| MetroPlus | Essential Plan 4 | $0.10 |
| UnitedHealthcare | Core | $0.08 |
| Cigna | HMO | $0.24 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $0.22 |
| Cigna | Open Access | $0.24 |
| Aetna | Nippon Life ASA PPO | $0.23 |
| UnitedHealthcare | Choice (NY Power Authority) | $0.08 |
| Aetna | Healthscope ASA PPO | $0.23 |
| MultiPlan | PHCS Director Guild | $0.55 |
| UnitedHealthcare | Navigate | $0.08 |
| MetroPlus | Essential Plan 1-2, 200-250 | $0.14 |
| EmblemHealth | Prime Silver | $0.22 |
| MultiPlan | AXA Global Insurance | $0.55 |
| MetroPlus | Essential Plan 3-4 | $0.10 |
| Cigna | Great West HMO | $0.24 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $0.22 |
| EmblemHealth | HIP VIP Medicare Montefiore | $0.22 |
| Cigna | Wellfleet Student | $0.24 |
| EmblemHealth | Enhanced Care (Medicaid) | $0.22 |
| MultiPlan | Fiserv Health | $0.55 |
| UnitedHealthcare | Charter | $0.08 |
| EmblemHealth | Select Care Silver Exchange | $0.22 |
| EmblemHealth | Essential Plan 3 | $0.22 |
| MetroPlus | Essential Plan 2 | $0.14 |
| MagnaCare | Cement & Concrete Workers District Council | $0.18 |
| EmblemHealth | HIP VIP Medicare Reserve | $0.22 |
| Cigna | Great West PPO | $0.24 |
| Health Net | PPO | $0.55 |
| MetroPlus | Gold | $0.15 |
| MultiPlan | PHCS Savility | $0.55 |
| EmblemHealth | GHI composite | $0.30 |
| EmblemHealth | HIP VIP Medicare Bold | $0.22 |
| Aetna | Meritain Health | $0.23 |
| Aetna | Christian Brothers ASA PPO | $0.23 |
| Aetna | Allied ASA PPO | $0.23 |
| EmblemHealth | CMO Essential Plan 2 | $0.22 |
| EmblemHealth | Select Care Basic Exchange | $0.22 |
| EmblemHealth | IUOE Local 14-14B | $0.30 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $0.08 |
| MultiPlan | PHP Healthcare (Champus) | $0.55 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $0.30 |
| MagnaCare | American Plan Administrators | $0.18 |
| EmblemHealth | HIP PPO | $0.22 |
| MetroPlus | SilverPlus | $0.24 |
| EmblemHealth | Select Care Bronze Small Group | $0.22 |
| MultiPlan | Administrative Concepts | $0.55 |
| MetroPlus | Essential Plan 1 | $0.14 |
| EmblemHealth | Essential Plan 2 | $0.22 |
| EmblemHealth | HIP compre health epo | $0.22 |
| Cigna | NALC PPO | $0.24 |
| Cigna | Open Access PPO | $0.24 |
| UnitedHealthcare | EPO | $0.08 |
| MetroPlus | Child Health Plus (CHP) | $0.10 |
| Aetna | Signature Administrators PPO | $0.23 |
| EmblemHealth | HIP Access II | $0.22 |
| EmblemHealth | CMO Essential Plan 3 | $0.22 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $0.22 |
| EmblemHealth | Bridge | $0.22 |
| EmblemHealth | HIP POS | $0.22 |
| MultiPlan | PPO | $0.55 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $0.22 |
| MultiPlan | Capital District Physicians Health Plan | $0.55 |
| EmblemHealth | HIP SmartStart | $0.22 |
| EmblemHealth | Vytra HMO | $0.22 |
| EmblemHealth | GHI PPO | $0.30 |
| Aetna | Student Health | $0.23 |
| MetroPlus | Essential Plan 3 | $0.10 |
| UnitedHealthcare | HMO | $0.08 |
| EmblemHealth | Select Care PPOu00a0 | $0.22 |
| MetroPlus | BronzePlus | $0.24 |
| EmblemHealth | GHI HMO | $0.30 |
| Cigna | Open Access HMO | $0.24 |
| Cigna | Indemnity | $0.24 |
| Aetna | Global National Transplant | $0.23 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $0.22 |
| EmblemHealth | CMO Essential Plan 4 | $0.22 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $0.22 |
| UnitedHealthcare | Choice | $0.08 |
| Cigna | LifeSOURCE | $0.24 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $0.30 |
| EmblemHealth | Select Care Bronze Exchange | $0.22 |
| EmblemHealth | American Plan Administrators | $0.30 |
| EmblemHealth | HIP Healthcare Partners HMO | $0.22 |
| EmblemHealth | Prime Gold | $0.22 |
| Cigna | Cigna Managed Care/POS | $0.24 |
| UnitedHealthcare - Oxford | Optum Health | $0.08 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $0.22 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $0.22 |
| Aetna | Indemnity | $0.23 |
| Aetna | Starmark ASA PPO | $0.23 |
| EmblemHealth | Healthcare Partners Essential Plans | $0.22 |
| EmblemHealth | Essential Plan 4 | $0.22 |
| EmblemHealth | Select Care Platinum Exchange | $0.22 |
| MultiPlan | Screen Actors Guild | $0.55 |
| UnitedHealthcare - Oxford | Liberty | $0.08 |
| MultiPlan | Meritain Health | $0.55 |
| MetroPlus | PlatinumPlus | $0.24 |
| MultiPlan | Principal Financial Group | $0.55 |
| MagnaCare | JIB Employees Security Fund | $0.18 |
| EmblemHealth | HIP Medicare Supplement | $0.22 |
| MetroPlus | GoldPlus | $0.24 |
| UnitedHealthcare | POMCO (UMR) | $0.55 |
| EmblemHealth | Select Care Silver Small Group | $0.22 |
| Aetna | Coresource ASA PPO | $0.23 |
| EmblemHealth | Prime Platinum | $0.22 |
| UnitedHealthcare - Oxford | Freedom | $0.08 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $0.22 |
| UnitedHealthcare | POS | $0.08 |
| Cigna | Tufts Health Plan | $0.24 |
| EmblemHealth | Prime Bronze | $0.22 |