go back

Vermont rates for HCPCS J7642

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.04 / $2.90