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Missouri rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.84 / $85.68 / $106.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $75.59 / $106.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.27 / $70.44 / $170.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $80.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $60.96 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.54 / $102.58 / $378.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.79 / $75.05 / $86.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.93 / $64.62 / $79.03