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South Carolina rates for HCPCS J7677

Revefenacin Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.32 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $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 / $0.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.23 / $0.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.20 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.19 / $0.19