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Texas rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Facilitymedian $112 · 10th–90th $20–$3800%5%10th90th$112Professionalmedian $20 · 10th–90th $20–$340%50%90th$20$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $93.33 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $165.96 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $75.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $102.33 / $288.40
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $66.07