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Iowa rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.82 / $1.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.82 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.77 / $0.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.68 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.87 / $1.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.98 / $1.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.91 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.70
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68