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Maryland rates for HCPCS J7677

Revefenacin Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.20 / $0.26