go back

North Dakota 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 / $0.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.17 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.24 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.21