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Lefamulin Injection, 1 mg

Missouri rates for HCPCS J0691

Injection, lefamulin, 1 mg

Rates data updated October 2026.

How much does Lefamulin Injection, 1 mg cost?

$0.68per mg

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $0.68 for each mg of this drug. The price depends on where it is billed: about $0.68 from a physician practice, and about $0.91 from a hospital or other facility.

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
$0.68
At a hospital outpatient department
$0.91

The same drug, in the same amount, costs 35% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.68$0.66 to $0.79
FacilityA hospital or hospital-owned outpatient department$0.91$0.78 to $1.15

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $1
$0.5$1$2facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.66
Median
$0.81
Typical High
$1.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.66
Median
$0.66
Typical High
$0.81
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.68
Median
$0.91
Typical High
$1.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.62
Median
$0.81
Typical High
$0.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.79
Median
$1.15
Typical High
$1.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
Medica
Setting
Facility
Modifier
None
Typical Low
$0.66
Median
$0.81
Typical High
$1.12
Medica
Setting
Professional
Modifier
None
Typical Low
$0.68
Median
$0.68
Typical High
$0.79
United
Setting
Professional
Modifier
None
Typical Low
$0.66
Median
$0.68
Typical High
$0.78
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.33
Median
$0.33
Typical High
$0.41
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.13
Median
$0.13
Typical High
$0.16
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.10
Median
$0.10
Typical High
$0.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.07
Median
$0.07
Typical High
$0.08

Where Missouri sits

The same service costs 1.7 times more in Arizona 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.

Missouri· 43rd of 51

$0.68

AZ $1.15ND $0.68

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.