Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr cost in Montana
ACYCLOVIR 5 MG/ML IN NS IV SYRINGE (NEO/PED) - CNR · HCPCS J0133
$74.74
lowest in Montana
$74.74
state median
$74.74
highest in Montana
$50.85
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Providence St Joseph Medical Center | Polson | $74.74 | $0.07 – $0.09 | 2 |