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Ohio rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.78 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $2.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.45 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.81 / $1.29
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 / $1.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.89 / $1.05
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.00 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.74