go back

Texas 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 / $0.33 / $0.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.45 / $0.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.19 / $0.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.26