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North Carolina 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 / $0.31 / $0.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.51 / $0.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.31 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.19 / $0.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00