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Arkansas rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.54 / $90.06 / $121.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $77.54 / $90.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.42 / $81.42 / $81.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $81.42 / $81.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $64.62 / $79.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.39 / $64.62 / $134.05