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Oregon rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.97 / $1.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.90 / $1.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.85 / $1.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.08 / $2.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68