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Minnesota 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 / $0.19 / $0.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.60 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.53 / $0.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.34