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Lefamulin Injection, 1 mg

Pennsylvania rates for HCPCS J0691

Injection, lefamulin, 1 mg

Rates data updated October 2026.

How much does Lefamulin Injection, 1 mg cost?

$0.71per mg

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $0.71 for each mg of this drug. The price depends on where it is billed: about $0.71 from a physician practice, and about $0.79 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.71
At a hospital outpatient department
$0.79

The same drug, in the same amount, costs 12% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.71$0.71 to $0.71
FacilityA hospital or hospital-owned outpatient department$0.79$0.71 to $1.17

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $1
$1$2facility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$1.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.14
Median
$0.14
Typical High
$0.14
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.11
Median
$0.11
Typical High
$0.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.07
Median
$0.07
Typical High
$0.07
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$0.59
Median
$0.68
Typical High
$0.81
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$0.68
Median
$0.68
Typical High
$0.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.71
Median
$1.17
Typical High
$2.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
Geisinger
Setting
Professional
Modifier
None
Typical Low
$0.72
Median
$0.72
Typical High
$0.72
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$1.05
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.14
Median
$0.14
Typical High
$0.14
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.11
Median
$0.11
Typical High
$0.11
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.07
Median
$0.07
Typical High
$0.07
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$0.72
Median
$0.83
Typical High
$0.83
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$0.72
Median
$0.72
Typical High
$0.83
United
Setting
Professional
Modifier
None
Typical Low
$0.68
Median
$0.68
Typical High
$0.93

Where Pennsylvania sits

The same service costs 1.7 times more in Arizona than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 37th of 51

$0.71

AZ $1.15ND $0.68

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.