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Nevada rates for HCPCS J7642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.88 / $2.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.01 / $1.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $225.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.04 / $1.82