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Washington 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
$0.21 / $0.24 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.21 / $0.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $75.00 / $85.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.28 / $0.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.24 / $0.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19