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Idaho rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.71
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.75 / $1.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.08 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68