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Maine rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.87 / $2.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $2.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.99