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Alaska rates for HCPCS J7677

Revefenacin inhalation solution, FDA-approved final product, noncompounded, administered through DME, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.36 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.48 / $0.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.38