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Arizona 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
$1.20 / $1.20 / $1.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.41 / $0.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.20 / $0.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20