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Glycopyrrolate, Concentrated Form Inhalation Solution

Rhode Island rates for HCPCS J7642

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $2$40%50%10th$4Professionalmedian $1 · 10th–90th $1$10%50%90th$1$0.5$1.0$2.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$3.89
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.05