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Virginia 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
$72.44 / $72.44 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.30 / $0.45
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.21 / $0.43
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.21