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Minnesota rates for HCPCS J7642

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

Facilitymedian $14 · 10th–90th $3–$210%20%10th90th$14Professionalmedian $13 · 10th–90th $1–$140%20%40%10th90th$13$0.1$0.5$2.0$10.0$50.0

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
$1.00 / $1.00 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $14.13 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.80 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.45
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.63 / $4.27
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $1.00 / $5.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.95