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Arizona rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Facilitymedian $71 · 10th–90th $35–$3470%10%10th90th$71Professionalmedian $20 · 10th–90th $20–$760%50%90th$20$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $37.15 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $245.47 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $38.90 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $151.36 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $87.10 / $117.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $109.65 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $66.07