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Missouri rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.82 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.15 / $2.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.66 / $0.82
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.85 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.68 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.68 / $0.78