go back

Florida rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $47.86 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $21.88
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $64.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $109.65 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $66.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95