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Erythromycin Lactobionate Injection

New Hampshire rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $91$3310%20%10th90th$138Professionalmedian $91 · 10th–90th $20$1700%50%10th90th$91$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$91.20
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$131.83