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New York 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 / $0.24 / $0.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.32 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.19 / $0.28
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.20