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Nebraska rates for HCPCS J7642

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

Facilitymedian $2 · 10th–90th $0$30%20%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%10th90th$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
$1.70 / $1.91 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.62 / $2.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.17 / $1.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.12 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.95 / $1.00 / $41.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $1.05 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.42 / $0.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $1.05 / $1.55