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New Hampshire rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.22 / $3.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.69 / $0.69
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.17 / $2.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.77 / $0.98