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Texas rates for HCPCS J7642

Glycopyrrolate Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.18 / $2.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.98 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $1.01 / $2.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.01 / $1.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $1.01 / $2.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.01 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.04 / $1.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.40