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Michigan 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 / $0.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.47 / $0.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
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
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $30.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.20