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Iowa 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 / $0.19 / $0.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $41.06 / $55.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.32 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.24 / $0.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.25
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.19 / $0.21