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California rates for HCPCS J7642

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

Facilitymedian $1 · 10th–90th $1–$30%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$1.78 / $2.51 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.23 / $1.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $38.02
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.54 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.00 / $2.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.62 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.05 / $2.82