| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.01 | $1.01 | $1.01 | |
Aetna
| Professional | $0.98 | $1.01 | $1.01 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
United
| Professional | $0.42 | $1.04 | $1.04 |
Glycopyrrolate, inhalation solution, compounded product, administered through DME, concentrated form, per mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.01 | $1.01 | $1.01 | |
Aetna
| Professional | $0.98 | $1.01 | $1.01 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
United
| Professional | $0.42 | $1.04 | $1.04 |