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Glycopyrrolate, Concentrated Form Inhalation Solution

Alaska rates for HCPCS J7642

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$10%50%$1Professionalmedian $1 · 10th–90th $1$20%50%90th$1$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
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$0.95
Typical High
$1.62
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.52
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.55
Typical High
$3.09