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Oklahoma rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $30.20 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $39.81 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $19.95 / $19.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $85.11 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $66.07