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Nebraska rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.44 / $1.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.78 / $0.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.81 / $0.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.71 / $0.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.25 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.98 / $1.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.91 / $1.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.68 / $0.75