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Texas rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.79 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.73 / $0.95
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.72 / $1.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.07
Providence
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.92