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Massachusetts rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $89.82 / $303.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $67.20 / $90.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.90 / $161.81 / $378.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $134.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.34 / $82.46 / $175.77
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $102.10 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $134.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.22 / $86.22 / $378.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $134.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $134.05