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North Carolina rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.16 / $86.22 / $150.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $85.54 / $90.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.99 / $35.99 / $190.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.36 / $72.36 / $75.05
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 / $101.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.90 / $85.54 / $111.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $8.46 / $8.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $134.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.22 / $116.50 / $378.80