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Hawaii 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
$0.36 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.24
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.24 / $0.28
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.24 / $0.26