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Michigan rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $2.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.66 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.73 / $0.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.82 / $1.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.72 / $0.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.72