go back

Colorado rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.05 / $149.35 / $307.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $79.56 / $90.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.71 / $116.32 / $206.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $60.96 / $119.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $68.50 / $115.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $71.08 / $105.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.88 / $197.88 / $197.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62