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New Hampshire rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.41 / $2.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.69 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.20 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.10