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Maryland rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Facilitymedian $380 · 10th–90th $302–$8510%20%40%10th90th$380Professionalmedian $794 · 10th–90th $794–$8710%50%90th$794$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $870.96
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $851.14 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $794.33 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $302.00 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $794.33 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $794.33 / $794.33