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Lefamulin Injection, 1 mg

Illinois rates for HCPCS J0691

Injection, lefamulin, 1 mg

Rates data updated October 2026.

How much does Lefamulin Injection, 1 mg cost?

$0.71per mg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $0.71 for each mg of this drug. The price depends on where it is billed: about $0.68 from a physician practice, and about $1.41 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.68
At a hospital outpatient department
$1.41

The same drug, in the same amount, costs 109% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.68$0.68 to $0.71
FacilityA hospital or hospital-owned outpatient department$1.41$1.05 to $2.45

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.66
Median
$1.32
Typical High
$2.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.66
Median
$0.66
Typical High
$0.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.33
Median
$0.33
Typical High
$0.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.13
Median
$0.13
Typical High
$0.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.07
Median
$0.07
Typical High
$0.07
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$2.04
Median
$2.95
Typical High
$8.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.95
Median
$1.41
Typical High
$1.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$2.57
Typical High
$2.88
United
Setting
Professional
Modifier
None
Typical Low
$0.68
Median
$0.68
Typical High
$0.72

Where Illinois sits

The same service costs 1.7 times more in Arizona than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 22nd of 51

$0.71

AZ $1.15ND $0.68

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.