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New Jersey rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $105.82 / $183.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $65.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $97.84 / $126.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.67 / $285.70 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $77.89 / $87.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $79.19