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Hawaii rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.44 / $1.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.68 / $1.02
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.90 / $0.93