go back

South Carolina rates for HCPCS J7642

Glycopyrrolate Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $3.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $11.44 / $11.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $1.01 / $1.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $1.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $1.04 / $1.04