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Kentucky rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $64.62 / $109.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $75.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.15 / $76.20 / $76.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $64.62 / $64.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $70.30 / $103.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $71.08 / $99.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $64.62 / $86.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $75.23 / $131.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62