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Erythromycin Lactobionate Injection

Utah rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Rates data updated July 2026.

Facilitymedian $105 · 10th–90th $93$1950%20%40%10th90th$105Professionalmedian $105 · 10th–90th $20$1050%50%10th$105$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
$104.71
Median
$104.71
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$331.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$81.28
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95