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Minnesota rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $20.42 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $123.03 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.95 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $223.87 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.99 / $26.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $213.80 / $251.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $30.20 / $125.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $79.43