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Washington rates for HCPCS J0691

Injection, lefamulin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.70 / $0.82
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.08 / $2.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.82 / $1.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.83 / $1.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.74 / $0.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.90 / $1.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68