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New York rates for HCPCS J0691

Injection, lefamulin, 1 mg

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.66 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $0.76 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $3.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.83 / $2.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.85
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.72 / $0.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.72 / $0.72
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $0.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.72 / $2.82
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.72 / $0.79
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.72 / $0.85