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Wisconsin rates for HCPCS J7677

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

Facilitymedian $0 · 10th–90th $0–$650%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.0$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
$77.62 / $85.11 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.25 / $0.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.45 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.28 / $0.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.19 / $0.24
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.38 / $0.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.19 / $0.21 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.19 / $0.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.21 / $0.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.30 / $1.07
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.27 / $0.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.20 / $0.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.20 / $0.28