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Virginia rates for HCPCS J7686

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

Facilitymedian $912 · 10th–90th $794$2,1880%20%40%10th90th$912Professionalmedian $794 · 10th–90th $794$8710%50%90th$794$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $912.01 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $812.83 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,023.29
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,258.93 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,479.11 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $794.33 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $831.76 / $933.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $831.76 / $912.01
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,148.15
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $707.95 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $794.33 / $851.14