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Erythromycin Lactobionate Injection

Washington rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Rates data updated July 2026.

Facilitymedian $117 · 10th–90th $76$1860%10%20%10th90th$117Professionalmedian $91 · 10th–90th $24$2240%20%10th90th$91$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
$138.04
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$223.87
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$204.17
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$134.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$275.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$89.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$204.17
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$117.49