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Washington rates for HCPCS J0691

Injection, lefamulin, 1 mg

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$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
$1.62 / $1.62 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.07 / $2.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.35 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.71 / $2.45
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $0.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.07 / $2.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.71