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Arizona rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.21 / $2.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.79 / $1.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $2.43 / $3.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.66 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.94 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68