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Louisiana 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 / $0.20 / $0.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.19 / $0.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.19 / $0.31