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Illinois rates for HCPCS J0691

Injection, lefamulin, 1 mg

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%10%20%10th90th$1$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.45 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.45 / $1.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.09 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.41 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.63 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.35 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.72