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Idaho 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 / $100.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.19
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
$0.19 / $0.20 / $0.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.14 / $0.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.19