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Lefamulin Injection, 1 mg

Maine rates for HCPCS J0691

Injection, lefamulin, 1 mg

Rates data updated July 2026.

How much does Lefamulin Injection, 1 mg cost?

$0.72per mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $0.72 for each mg of this drug. The price depends on where it is billed: about $0.71 from a physician practice, and about $2.04 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.71
At a hospital outpatient department
$2.04

The same drug, in the same amount, costs 188% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.71$0.69 to $0.72
FacilityA hospital or hospital-owned outpatient department$2.04$1.91 to $2.04

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$1$2facility $2professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.04
Typical High
$2.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.71
Typical High
$0.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.89
Typical High
$2.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.69
Typical High
$0.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$2.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$0.72
Typical High
$0.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.04
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.66
Median
$0.71
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.72
Typical High
$1.00

Where Maine sits

The same service costs 1.7 times more in Alaska than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 14th of 51

$0.72

AK $1.12ND $0.66

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.