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California rates for HCPCS J0691

Injection, lefamulin, 1 mg

Facilitymedian $1 · 10th–90th $1$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%10th90th$1$0.5$2.0$10.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.70 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.38 / $2.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.78 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.72 / $1.74
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.78 / $1.02
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.95 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.38 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $1.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.87 / $1.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.70