go back

Glycopyrrolate, Concentrated Form Inhalation Solution

Washington rates for HCPCS J7642

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1$10%50%10th90th$1$0.1$0.5$2.0$10.0$50.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$2.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.00
Typical High
$1.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.07
Typical High
$2.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.42
Typical High
$1.05
United
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$1.05
Typical High
$1.05