| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.01 | $1.52 | $3.33 | |
Aetna
| Professional | $0.82 | $0.98 | $1.01 | |
Anthem BCBS
| Professional | $0.78 | $1.04 | $202.50 | |
United
| Professional | $0.42 | $1.04 | $3.00 |
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 | $1.52 | $3.33 | |
Aetna
| Professional | $0.82 | $0.98 | $1.01 | |
Anthem BCBS
| Professional | $0.78 | $1.04 | $202.50 | |
United
| Professional | $0.42 | $1.04 | $3.00 |