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Louisiana rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.82 / $1.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.70 / $0.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.75
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.82