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Maine 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
$0.44 / $0.44 / $0.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.19 / $0.28