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Montana rates for HCPCS J7677

Revefenacin inhalation solution, FDA-approved final product, noncompounded, administered through DME, 1 mcg

Facilitymedian $0 · 10th–90th $0–$10%50%10th90th$0Professionalmedian $0 · 10th–90th $0–$790%50%90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.22 / $0.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.22 / $0.22
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.20 / $0.37
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.20 / $0.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.22 / $0.22
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $60.26 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20