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Connecticut rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $106.62 / $180.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $67.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $108.24 / $223.35
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
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.06 / $70.09 / $80.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.16 / $64.62 / $145.09