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South Carolina rates for HCPCS J7677

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.30 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.08 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.20 / $0.20