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Utah 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
$0.22 / $0.22 / $0.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.16 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19