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Illinois 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 / $0.30 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.91 / $9.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $42.44 / $66.92
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.30