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California 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
$0.19 / $0.38 / $0.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.21 / $0.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.42
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.20 / $0.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.22 / $0.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.36
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.38