go back

Alaska rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $3.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.11 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $1.59 / $1.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.59 / $2.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.02 / $1.37