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South Dakota rates for HCPCS J7677

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

Facilitymedian $0 · 10th–90th $0$00%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0$00%20%10th90th$0$0.1$0.5$2.0$10.0$50.0

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.19 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.32 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.19 / $0.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.30
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.19 / $0.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.20 / $0.22