go back

Louisiana rates for HCPCS J7642

Glycopyrrolate Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $2.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.19 / $1.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.19 / $1.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.12 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.04 / $2.17