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New York rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.66 / $0.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.76 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.02 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.93
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.72 / $0.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.72 / $0.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.76 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.72