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Texas rates for HCPCS J0691

Injection, lefamulin, 1 mg

Facilitymedian $1 · 10th–90th $1–$30%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%40%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.48 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.26 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.66 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.05 / $1.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.26 / $3.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.02 / $2.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.35 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68