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Virginia rates for HCPCS J0691

Injection Lefamulin 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.76 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.52 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.82 / $1.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.68 / $0.87
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.68 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.82