go back

Montana rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Facilitymedian $83 · 10th–90th $76–$46,7740%20%10th90th$83Professionalmedian $21 · 10th–90th $20–$2240%50%10th90th$21$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $20.42 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $91.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $83.18 / $245.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $83.18 / $245.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $234.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $85.11 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95