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Idaho rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Facilitymedian $91 · 10th–90th $20–$1510%10%10th90th$91Professionalmedian $20 · 10th–90th $20–$910%50%90th$20$5.0$10.0$20.0$50.0$100.0$200.0

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
$19.95 / $19.95 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $69.18 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $102.33 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $91.20 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $91.20 / $114.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $104.71 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $114.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $91.20 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $38.02