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Virginia rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Facilitymedian $46 · 10th–90th $20–$2090%20%10th90th$46Professionalmedian $21 · 10th–90th $20–$910%50%10th90th$21$0.2$1.0$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $42.66 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $154.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $117.49 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $194.98
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $19.95 / $134.90
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $91.20 / $134.90
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $91.20 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $109.65 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.95 / $83.18