| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1.13 | $1.13 | $1.13 | |
HMSA
| Professional | $1.26 | $1.26 | $1.26 | |
United
| Professional | $0.97 | $1.04 | $1.56 |
Glycopyrrolate, inhalation solution, compounded product, administered through DME, concentrated form, per mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1.13 | $1.13 | $1.13 | |
HMSA
| Professional | $1.26 | $1.26 | $1.26 | |
United
| Professional | $0.97 | $1.04 | $1.56 |