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Oregon rates for HCPCS J7642

Glycopyrrolate Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $2.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.99 / $1.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.25 / $2.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $13,910.16 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.25 / $2.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.25