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California rates for HCPCS J7642

Glycopyrrolate Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2.41 / $6.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.99 / $1.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.10 / $1.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $200.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.50 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.12 / $1.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.01 / $1.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.01 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $2.12