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Indiana rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.63 / $2.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.36 / $1.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.72 / $1.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $0.97 / $1.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $1.22
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 / $1.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.84