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Erythromycin Lactobionate Injection

South Dakota rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Rates data updated July 2026.

Facilitymedian $91 · 10th–90th $91$1260%50%90th$91Professionalmedian $93 · 10th–90th $76$1170%20%40%10th90th$93$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
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$75.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$61.66
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20