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Glycopyrrolate, Concentrated Form Inhalation Solution

Ohio rates for HCPCS J7642

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $1$30%20%40%10th90th$3Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$2.57
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$0.98
Typical High
$2.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.12
Typical High
$1.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.12
Typical High
$1.41
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.70
Typical High
$2.45
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.42
Typical High
$1.05
United
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$1.05
Typical High
$1.35