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Virginia rates for HCPCS J7642

Glycopyrrolate Comp Con

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.01 / $1.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $34.00 / $34.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $1.01 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.04 / $1.13