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Kansas 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 / $0.84 / $10.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.23 / $0.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.19 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.30