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California rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.68 / $1.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.68 / $1.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.14 / $2.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.70 / $1.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.74 / $1.23
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $1.94
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.88 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.49