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New Hampshire rates for HCPCS J7677

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

Facilitymedian $0 · 10th–90th $0–$10%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.1$0.2$0.5

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.42 / $0.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.40 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.32 / $0.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.20 / $0.32
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33