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Illinois rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.32 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.13 / $15.52
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.61 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.74