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Erythromycin Lactobionate Injection

Wisconsin rates for HCPCS J1364

Injection, erythromycin lactobionate, per 500 mg

Rates data updated July 2026.

Facilitymedian $115 · 10th–90th $56$2750%10%10th90th$115Professionalmedian $91 · 10th–90th $76$1950%50%10th90th$91$5.0$10.0$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
$93.33
Median
$181.97
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$56.23
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$107.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$141.25
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$128.82
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$85.11
Typical High
$89.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$141.25
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$128.82
Typical High
$128.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$102.33
Typical High
$194.98
Quartz
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$275.42
Typical High
$380.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$102.33
Security Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$234.42
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$91.20
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$28.18