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Rhode Island rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.72 / $0.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68