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Tennessee rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $121.30 / $159.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $90.81
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 / $64.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.22 / $378.80 / $378.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $134.05