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Nationwide rates for HCPCS J7642

Glycopyrrolate, inhalation solution, compounded product, administered through DME, concentrated form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $2.09 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.23 / $1.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1.05 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $3.80 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.26 / $1.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.42 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.05 / $1.38