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Virginia rates for HCPCS J0691

Injection, lefamulin, 1 mg

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%90th$1$0.5$1.0$2.0

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
$1.41 / $1.51 / $1.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.51 / $1.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.51 / $2.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $1.38 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.81 / $1.07
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.71 / $1.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.71 / $1.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $1.35 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.68 / $0.81