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Nebraska rates for HCPCS J7642

Glycopyrrolate Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $2.29 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.18 / $1.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.12 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.01 / $41.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.04 / $1.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $4.80 / $5.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $5.54 / $5.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.04 / $1.56