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Erythromycin Lactobionate Injection

Idaho rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Rates data updated July 2026.

Facilitymedian $91 · 10th–90th $24$1580%20%10th90th$91Professionalmedian $100 · 10th–90th $91$1150%20%10th90th$100$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
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$69.18
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$91.20
Typical High
$114.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$91.20
Typical High
$114.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$114.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$91.20
Typical High
$162.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$28.18